Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Roanoke › NPI 1417993833
Physician

Gastroenterology Consultants of

Gastroenterology Consultants of was paid $35K by Medicaid between Mar 2019 and Sep 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 79% of everything it billed.

33Billing provider infoGASTROENTEROLOGY CONSULTANTS OF
ROANOKE, VA 24014
33aNPI1417993833assigned 06/22/2006
28Total paid$35K
24GClaims563
24DCodes billed4
24AFirst – last monthMar 2019 – Sep 2024
Compared with peers

Next to other Gastroenterology Physician providers in Virginia

Rank by total paid#27 of 40
Median peer was paid$68K
This provider vs. median0.5×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201944$3K
202162$4K
2022134$8K
2023211$11K
2024incomplete112$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 79% 401 320 $28K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 11% 77 53 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.2% 62 37 $2K
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 4.3% 23 21 $2K

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 officialALLISON, DIANE (ADMINISTRATOR)