Physician
Gastrointestinal Care of Long Island PLLC
Gastrointestinal Care of Long Island PLLC was paid $543K by Medicaid between May 2024 and Dec 2024, across 19 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 36% of everything it billed.
33Billing provider infoGASTROINTESTINAL CARE OF LONG ISLAND PLLC
MASSAPEQUA, NY 11758
MASSAPEQUA, NY 11758
33aNPI1265571863assigned 02/06/2007
33bProvider typeGastroenterology Physician
28Total paid$543K
24GClaims4,630
24DCodes billed19
24AFirst – last monthMay 2024 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#79 of 656
Median peer was paid$12K
This provider vs. median45×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 4,630 | $543K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 36% | 1,170 | 1,161 | $198K |
| 88312 | 14% | 627 | 627 | $73K | |
| 88342 | 7.6% | 511 | 510 | $41K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.2% | 352 | 349 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 500 | 489 | $36K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.7% | 375 | 372 | $31K |
| 00813 | 4.5% | 86 | 86 | $25K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.1% | 162 | 162 | $22K |
| 00731 | 3.6% | 88 | 87 | $20K | |
| 88313 | 2.9% | 365 | 364 | $16K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.9% | 62 | 62 | $10K |
| 00812 | 1.7% | 53 | 52 | $9K |
7 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.7% | 92 | $9K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.1% | 39 | $6K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 39 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $1K |
| 91200 | <1% | 49 | $1K | |
| 00811 | <1% | 13 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 31 | $4.50 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPFEIFLE, JEAN (RCM OPERATIONS MANAGER)