Physician
Gaston Medical Associates, PA
Gaston Medical Associates, PA was paid $881K by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoGASTON MEDICAL ASSOCIATES, PA
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1366433773assigned 11/03/2005
33bProvider typeGastroenterology Physician
28Total paid$881K
24GClaims72,276
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in North Carolina
Rank by total paid#6 of 64
Median peer was paid$44K
This provider vs. median20×
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 | 9,600 | $110K | |
| 2019 | 5,621 | $146K | |
| 2020 | 7,684 | $109K | |
| 2021 | 8,880 | $142K | |
| 2022 | 11,285 | $145K | |
| 2023 | 11,066 | $116K | |
| 2024incomplete | 18,140 | $113K |
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 | 48% | 10,211 | 6,581 | $420K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 18% | 2,738 | 1,874 | $160K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 4,233 | 2,875 | $110K |
| 99199 | Unlisted special service, procedure or report | 8.3% | 17,116 | 10,393 | $73K |
| 99490 | Ccm add 20min | 6.9% | 9,434 | 6,549 | $61K |
| 99443 | 2.3% | 318 | 246 | $20K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 375 | 268 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,365 | 1,167 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | 26 | $3K |
| 99442 | <1% | 38 | 33 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 25 | 16 | $1K |
| 81003 | <1% | 764 | 622 | $1K |
39 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 90686 | <1% | 156 | $867.82 | |
| 99497 | <1% | 119 | $851.15 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 457 | $798.65 |
| 99439 | <1% | 153 | $782.91 | |
| 96127 | <1% | 200 | $684.73 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 79 | $451.57 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $172.90 |
| 96160 | <1% | 64 | $169.01 | |
| 99406 | <1% | 14 | $113.36 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 61 | $31.37 |
| 1170F | <1% | 4,097 | $0.47 | |
| 1126F | <1% | 1,697 | $0.24 | |
| 1125F | <1% | 1,109 | $0.18 | |
| 1160F | <1% | 3,848 | $0.10 | |
| 1159F | <1% | 2,881 | $0.10 | |
| 3078F | <1% | 1,871 | $0.07 | |
| 3074F | <1% | 2,373 | $0.06 | |
| 3044F | <1% | 96 | $0.02 | |
| 3075F | <1% | 586 | $0.02 | |
| 3079F | <1% | 1,295 | $0.02 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 59 | $0.00 |
| 3288F | 0% | 108 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 170 | $0.00 |
| 3077F | 0% | 40 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 229 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 122 | $0.00 |
| 1158F | 0% | 33 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 1,957 | $0.00 |
| 1036F | 0% | 450 | $0.00 | |
| 1111F | 0% | 32 | $0.00 | |
| 3008F | 0% | 566 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 198 | $0.00 |
| 1034F | 0% | 123 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 179 | $0.00 |
| 1220F | 0% | 108 | $0.00 | |
| 3080F | 0% | 43 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 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 officialAJAO, OLUFOLARIN (CO-PRESIDENT)