Integrated Gastroenterology Consultants, PC
Integrated Gastroenterology Consultants, PC was paid $1.33M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoINTEGRATED GASTROENTEROLOGY CONSULTANTS, PC
LOWELL, MA 01851
LOWELL, MA 01851
33aNPI1477553287assigned 07/22/2005
33bProvider typePhysical Therapist
28Total paid$1.33M
24GClaims23,305
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Massachusetts
Rank by total paid#5 of 178
Median peer was paid$18K
This provider vs. median76×
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 | 1,246 | $61K | |
| 2019 | 1,474 | $77K | |
| 2020 | 1,895 | $114K | |
| 2021 | 3,008 | $170K | |
| 2022 | 3,785 | $232K | |
| 2023 | 6,013 | $375K | |
| 2024incomplete | 5,884 | $302K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 11,071 | 10,269 | $593K |
| 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 | 23% | 3,280 | 3,272 | $308K |
| 99223 | Prolong inpt eval add15 m | 11% | 1,848 | 1,826 | $151K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.7% | 1,564 | 1,502 | $90K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.0% | 666 | 663 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 838 | 827 | $32K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.4% | 268 | 263 | $19K |
| 76981 | <1% | 220 | 217 | $12K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 816 | 806 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 122 | 121 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 140 | 92 | $5K |
| 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% | 74 | 74 | $4K |
9 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 405 | $4K |
| 91200 | <1% | 170 | $4K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,313 | $3K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 27 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 69 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $860.03 |
| 99490 | Ccm add 20min | <1% | 335 | $634.03 |
| 88342 | <1% | 53 | $488.79 |
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 officialMARINELLI, FRANKLIN (PRESIDENT)