Gastroenterology Associates of Plattsburgh

Gastroenterology Associates of Plattsburgh was paid $30K by Medicaid between Jan 2018 and Jan 2022, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 90% of everything it billed.

33Billing provider infoGASTROENTEROLOGY ASSOCIATES OF PLATTSBURGH
PLATTSBURGH, NY 12901

33aNPI1306869763assigned 07/26/2006

33bProvider typeGastroenterology Physician

28Total paid$30K

24GClaims1,563

24DCodes billed9

24AFirst – last monthJan 2018 – Jan 2022

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#253 of 656

Median peer was paid$12K

This provider vs. median2.5×

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	315	$3K
2019	218	$2K
2020	415	$9K
2021	559	$15K
2022	56	$1K

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	90%	215	215	$27K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	10.0%	106	106	$3K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	336	335	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	13	13	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	443	441	$0.00
G8482	Influenza immunization administered or previously received	0%	356	354	$0.00
99072		0%	54	54	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	13	13	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	27	27	$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 officialCASSONE, EUGENE (PRESIDENT)