Physician
Mid-South Gastroenterology Assoc PC
Mid-South Gastroenterology Assoc PC was paid $545K by Medicaid between Jan 2018 and Dec 2023, across 16 billing codes. Its largest line is 43235, — 28% of everything it billed.
33Billing provider infoMID-SOUTH GASTROENTEROLOGY ASSOC PC
COLUMBIA, TN 38401
COLUMBIA, TN 38401
33aNPI1336104280assigned 04/20/2006
33bProvider typeGastroenterology Physician
28Total paid$545K
24GClaims19,261
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Gastroenterology Physician providers in Tennessee
Rank by total paid#7 of 50
Median peer was paid$19K
This provider vs. median29×
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 | 4,106 | $107K | |
| 2019 | 3,318 | $92K | |
| 2020 | 2,597 | $61K | |
| 2021 | 3,542 | $92K | |
| 2022 | 2,922 | $98K | |
| 2023 | 2,776 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43235 | 28% | 3,368 | 2,894 | $154K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 20% | 1,662 | 1,400 | $109K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,878 | 4,893 | $104K |
| 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 | 12% | 2,297 | 1,986 | $67K |
| 43450 | 4.9% | 1,953 | 1,712 | $27K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 746 | 643 | $24K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 4.1% | 279 | 238 | $23K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.4% | 204 | 177 | $18K |
| 99243 | 1.2% | 89 | 87 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 241 | 197 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 392 | 170 | $4K |
| 99441 | <1% | 287 | 250 | $2K |
4 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 121 | $2K |
| 99442 | <1% | 13 | $220.27 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,329 | $0.00 |
| G9612 | Photodocumentation of two or more cecal landmarks to establish a complete examination | 0% | 402 | $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 officialCHOKSI, AMIT (CHAIRMAN CORP)