Physician
Gastroenterology Associates of Northern New York PC
Gastroenterology Associates of Northern New York PC was paid $110K by Medicaid between Feb 2018 and Oct 2024, across 11 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 59% of everything it billed.
33Billing provider infoGASTROENTEROLOGY ASSOCIATES OF NORTHERN NEW YORK PC
GLENS FALLS, NY 12801
GLENS FALLS, NY 12801
33aNPI1376583641assigned 06/07/2006
33bProvider typeGastroenterology Physician
28Total paid$110K
24GClaims4,656
24DCodes billed11
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#165 of 656
Median peer was paid$12K
This provider vs. median9.0×
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 | 277 | $8K | |
| 2019 | 600 | $11K | |
| 2020 | 929 | $3K | |
| 2021 | 1,715 | $30K | |
| 2022 | 735 | $35K | |
| 2023 | 322 | $17K | |
| 2024incomplete | 78 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 464 | 464 | $65K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 17% | 93 | 93 | $18K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 144 | 142 | $14K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 5.2% | 1,524 | 1,514 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.8% | 75 | 56 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.5% | 25 | 25 | $3K |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 505 | 503 | $0.00 |
| G9711 | Patients with a diagnosis or past history of total colectomy or colorectal cancer | 0% | 227 | 226 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,110 | 1,104 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 176 | 175 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 313 | 310 | $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 officialHERLIHY, KEVIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Northern Ec LLC | Glens Falls, NY | $1.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.