Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northwest Ohio Gastroenterology Associates INC.

Northwest Ohio Gastroenterology Associates INC. was paid $112K by Medicaid between Feb 2018 and Nov 2024, across 11 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 44% of everything it billed.

33Billing provider infoNORTHWEST OHIO GASTROENTEROLOGY ASSOCIATES INC.
TOLEDO, OH 43623
33aNPI1306945084assigned 09/21/2006
28Total paid$112K
24GClaims1,886
24DCodes billed11
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers

Next to other Gastroenterology Physician providers in Ohio

Rank by total paid#25 of 59
Median peer was paid$45K
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018225$13K
2019213$10K
2020156$9K
2021378$24K
2022364$24K
2023386$26K
2024incomplete164$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 44% 559 530 $49K
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 19% 450 424 $21K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12% 208 186 $14K
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 7.8% 144 138 $9K
88312 5.4% 93 88 $6K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.3% 227 126 $4K
99223 Prolong inpt eval add15 m 2.8% 85 79 $3K
88313 2.3% 51 50 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.5% 12 12 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 45 40 $1K
99244 Office or other outpatient consultation, moderate to high complexity <1% 12 12 $943.56

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 officialZACK, DAVID (D.O.)