Physician
Gastroenterology Center of the Midsouth PLLC
Gastroenterology Center of the Midsouth PLLC was paid $886K by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 21% of everything it billed.
33Billing provider infoGASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
33aNPI1417932492assigned 12/13/2005
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$886K
24GClaims54,351
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Tennessee
Rank by total paid#5 of 73
Median peer was paid$13K
This provider vs. median68×
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 | 3,893 | $52K | |
| 2019 | 4,980 | $83K | |
| 2020 | 4,032 | $64K | |
| 2021 | 4,702 | $70K | |
| 2022 | 12,875 | $179K | |
| 2023 | 16,430 | $247K | |
| 2024incomplete | 7,439 | $191K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 21% | 7,430 | 6,062 | $184K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 9,878 | 4,588 | $154K |
| 99222 | Initial hospital care, per day, moderate complexity | 14% | 4,745 | 3,968 | $125K |
| 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 | 9.6% | 5,546 | 4,184 | $85K |
| 88342 | 7.7% | 3,294 | 2,406 | $69K | |
| 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 | 6.1% | 2,496 | 1,899 | $54K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 5.7% | 6,710 | 3,417 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 3,794 | 2,982 | $42K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.4% | 1,547 | 1,110 | $39K |
| 88313 | 4.2% | 2,134 | 1,699 | $37K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.2% | 390 | 258 | $11K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 692 | 585 | $10K |
38 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 612 | $6K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 349 | $5K |
| 43235 | <1% | 372 | $3K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 69 | $3K |
| 00731 | <1% | 422 | $2K | |
| 43248 | <1% | 29 | $2K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 129 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 37 | $925.05 |
| 88341 | <1% | 14 | $689.70 | |
| 00811 | <1% | 250 | $671.29 | |
| 99221 | <1% | 28 | $460.75 | |
| 88312 | <1% | 12 | $320.01 | |
| 76981 | <1% | 39 | $305.86 | |
| 99219 | <1% | 13 | $277.76 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 64 | $225.91 |
| 43450 | <1% | 51 | $199.08 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 306 | $174.37 |
| 80053 | Comprehensive metabolic panel | <1% | 186 | $110.83 |
| 36415 | Collection of venous blood by venipuncture | <1% | 661 | $96.78 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $64.47 |
| 85027 | <1% | 123 | $57.62 | |
| 99457 | <1% | 448 | $12.17 | |
| 99453 | 0% | 44 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 421 | $0.00 |
| 1159F | 0% | 21 | $0.00 | |
| 3078F | 0% | 25 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 16 | $0.00 |
| 99487 | Ccm add 20min | 0% | 81 | $0.00 |
| 1160F | 0% | 21 | $0.00 | |
| 3077F | 0% | 19 | $0.00 | |
| 99439 | 0% | 262 | $0.00 | |
| 3074F | 0% | 22 | $0.00 | |
| 3008F | 0% | 62 | $0.00 | |
| 99458 | 0% | 179 | $0.00 | |
| 99454 | 0% | 161 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 19 | $0.00 |
| 4010F | 0% | 32 | $0.00 | |
| 99489 | Ccm add 20min | 0% | 80 | $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 officialMATERNA, KRISTINA (DIRECTOR, CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Dayton Gastroenterology LLC | Dayton, OH | $3.41M |
| Gastroenterology Health Partners, PLLC | Lousiville, KY | $3.12M |
| Transsouth Health Care PLLC | Jackson, TN | $1.37M |
| Endoscopy Center of North Mississippi,llc | Oxford, MS | $77K |
| Gastroenterology Associates Va, LLC | Gainesville, VA | $42K |
| DHS Anesthesia, LLC | Tupelo, MS | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.