Fayetteville Gastroenterology Associates, P.A.
Fayetteville Gastroenterology Associates, P.A. was paid $1.10M by Medicaid between Jan 2018 and Jun 2022, across 18 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 37% of everything it billed.
33Billing provider infoFAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1457365751assigned 07/29/2006
33bProvider typeSpecialist
28Total paid$1.10M
24GClaims38,736
24DCodes billed18
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#36 of 172
Median peer was paid$83K
This provider vs. median13×
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 | 9,301 | $157K | |
| 2019 | 13,849 | $225K | |
| 2020 | 7,918 | $235K | |
| 2021 | 6,069 | $371K | |
| 2022 | 1,599 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 37% | 3,579 | 2,920 | $404K |
| 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 | 34% | 8,040 | 6,312 | $368K |
| 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 | 13% | 1,609 | 1,305 | $145K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 2,216 | 1,807 | $138K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.2% | 124 | 82 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 386 | 337 | $13K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 83 | 77 | $8K |
| 99254 | <1% | 28 | 26 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | 14 | $2K |
| 88342 | <1% | 59 | 49 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 17 | 12 | $354.15 |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | 13 | $245.21 |
6 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,418 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,904 | $0.00 |
| 4004F | 0% | 1,263 | $0.00 | |
| 1036F | 0% | 4,253 | $0.00 | |
| 3017F | 0% | 5,010 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 718 | $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 officialVORDER BRUEGGE, WILLIAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Fayetteville Gastroenterology Endoscopy Center, LLC | Fayetteville, NC | $1.52M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.