Rome Gastroenterology Associates

Rome Gastroenterology Associates was paid $156K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoROME GASTROENTEROLOGY ASSOCIATES
ROME, GA 30165

33aNPI1356309314assigned 05/01/2006

33bProvider typeGastroenterology Physician

28Total paid$156K

24GClaims3,945

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Georgia

Rank by total paid#1 of 13

Median peer was paid$23K

This provider vs. median6.9×

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	533	$19K
2019	572	$19K
2020	703	$24K
2021	677	$24K
2022	769	$33K
2023	424	$21K
2024incomplete	267	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	48%	2,297	1,870	$76K
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	21%	890	740	$33K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	19%	380	322	$29K
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	5.7%	113	90	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.5%	107	92	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.9%	117	50	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	13	12	$1K
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	0%	14	12	$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%	14	12	$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 officialBALDWIN, KEITH (ADMINISTRATOR)