Gastroenterology Medical Associates
Gastroenterology Medical Associates was paid $170K by Medicaid between Feb 2018 and Jan 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoGASTROENTEROLOGY MEDICAL ASSOCIATES
NORTH BERGEN, NJ 07047
NORTH BERGEN, NJ 07047
33aNPI1457393803assigned 06/11/2006
33bProvider typeSpecialist
28Total paid$170K
24GClaims3,144
24DCodes billed10
24AFirst – last monthFeb 2018 – Jan 2022
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#145 of 378
Median peer was paid$63K
This provider vs. median2.7×
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 | 674 | $43K | |
| 2019 | 473 | $26K | |
| 2020 | 696 | $33K | |
| 2021 | 1,254 | $67K | |
| 2022 | 47 | $1K |
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 | 30% | 1,625 | 1,599 | $51K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 29% | 335 | 335 | $50K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 24% | 380 | 380 | $40K |
| 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 | 5.8% | 159 | 159 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.5% | 204 | 200 | $8K |
| 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 | 4.2% | 210 | 209 | $7K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.0% | 12 | 12 | $2K |
| 99243 | <1% | 14 | 14 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $731.80 |
| 99000 | 0% | 193 | 189 | $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 officialPORT, ALAN (DELEGATED OFFICIAL)