Gastroenterology Consultants, P.A.

Gastroenterology Consultants, P.A. was paid $165K by Medicaid between Jan 2018 and Nov 2023, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoGASTROENTEROLOGY CONSULTANTS, P.A.
EDISON, NJ 08837

33aNPI1417996323assigned 06/06/2006

33bProvider typeGastroenterology Physician

28Total paid$165K

24GClaims4,375

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Gastroenterology Physician providers in New Jersey

Rank by total paid#38 of 150

Median peer was paid$27K

This provider vs. median6.2×

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	956	$40K
2019	677	$26K
2020	313	$14K
2021	662	$32K
2022	674	$21K
2023	1,093	$33K

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	55%	2,628	2,519	$92K
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	17%	635	617	$28K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	6.3%	82	81	$10K
88305	Level IV - Surgical pathology, gross and microscopic examination	6.2%	246	236	$10K
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	5.0%	109	107	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.3%	136	135	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.2%	342	143	$5K
88342		1.8%	84	80	$3K
88313		<1%	100	96	$1K
88312		<1%	13	12	$132.09

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 officialHOMSHER, JEANETTE (PRACTICE MANAGER)