Clinic
Halifax Gastroenterology PC
Halifax Gastroenterology PC was paid $294K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 50% of everything it billed.
33Billing provider infoHALIFAX GASTROENTEROLOGY PC
ROANOKE RAPIDS, NC 27870
ROANOKE RAPIDS, NC 27870
33aNPI1306855770assigned 08/05/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$294K
24GClaims5,061
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in North Carolina
Rank by total paid#28 of 89
Median peer was paid$104K
This provider vs. median2.8×
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 | 683 | $27K | |
| 2019 | 665 | $31K | |
| 2020 | 342 | $24K | |
| 2021 | 828 | $41K | |
| 2022 | 869 | $50K | |
| 2023 | 707 | $42K | |
| 2024incomplete | 967 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 50% | 2,526 | 2,070 | $147K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 26% | 403 | 334 | $78K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,605 | 1,310 | $54K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.9% | 75 | 64 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 239 | 213 | $4K |
| G8917 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time | 0% | 37 | 36 | $0.00 |
| 1036F | 0% | 14 | 13 | $0.00 | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 37 | 36 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 101 | 101 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 24 | 24 | $0.00 |
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 officialYERRA, PADMA (OFF MANAGER)