Gastroenterology Associates of Fairfield P C
Gastroenterology Associates of Fairfield P C was paid $639K by Medicaid between Jan 2018 and Jun 2022, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoGASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P C
FAIRFIELD, CT 06824
FAIRFIELD, CT 06824
33aNPI1285710442assigned 10/31/2006
33bProvider typeSpecialist
28Total paid$639K
24GClaims13,192
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Specialist providers in Connecticut
Rank by total paid#9 of 55
Median peer was paid$59K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2018 | 1,475 | $76K | |
| 2019 | 3,038 | $168K | |
| 2020 | 2,552 | $149K | |
| 2021 | 4,188 | $172K | |
| 2022 | 1,939 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 5,546 | 5,069 | $212K |
| 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 | 31% | 3,425 | 3,107 | $200K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 1,809 | 1,671 | $77K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 10% | 611 | 586 | $67K |
| 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 | 6.2% | 338 | 299 | $40K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.5% | 116 | 103 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 591 | 378 | $9K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.1% | 123 | 118 | $7K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 383 | 377 | $5K |
| 99243 | <1% | 65 | 65 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 117 | 101 | $5K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 28 | 28 | $3K |
3 more codes
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 officialENGEL, JOSEPH (ADMINISTRATOR)
Parent organizationGASTROENTEROLOGY ASSOCIATES OF FAIRFIELD
| Provider | Location | Paid |
|---|---|---|
| Gastroenterology Associates of Fairfield PC | Fairfield, CT | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.