Physician
Pioneer Valley Gastroenterology Associates, PC
Pioneer Valley Gastroenterology Associates, PC was paid $31K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoPIONEER VALLEY GASTROENTEROLOGY ASSOCIATES, PC
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1326286998assigned 02/04/2009
33bProvider typeGastroenterology Physician
28Total paid$31K
24GClaims3,411
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Massachusetts
Rank by total paid#28 of 71
Median peer was paid$11K
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 | 254 | $9K | |
| 2019 | 825 | $5K | |
| 2020 | 453 | $3K | |
| 2021 | 365 | $2K | |
| 2022 | 882 | $4K | |
| 2023 | 490 | $5K | |
| 2024incomplete | 142 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 56% | 437 | 433 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 161 | 160 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | 12% | 85 | 83 | $4K |
| 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 | 11% | 51 | 51 | $3K |
| 99223 | Prolong inpt eval add15 m | 6.1% | 15 | 15 | $2K |
| 99443 | <1% | 12 | 12 | $167.50 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 900 | 884 | $80.43 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 407 | 403 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 335 | 335 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 13 | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 31 | 29 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 16 | 16 | $0.00 |
4 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 officialCLIFFORD, BERNARD (OWNER)