Carepoint Gastroenterology Center PC
Carepoint Gastroenterology Center PC was paid $3.52M by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoCAREPOINT GASTROENTEROLOGY CENTER PC
CLIFTON, NJ 07011
CLIFTON, NJ 07011
33aNPI1487864021assigned 05/23/2007
33bProvider typeSpecialist
28Total paid$3.52M
24GClaims65,785
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#17 of 378
Median peer was paid$63K
This provider vs. median56×
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 | 5,860 | $345K | |
| 2019 | 7,637 | $433K | |
| 2020 | 8,391 | $405K | |
| 2021 | 8,108 | $417K | |
| 2022 | 13,092 | $675K | |
| 2023 | 13,774 | $722K | |
| 2024incomplete | 8,923 | $528K |
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% | 21,105 | 19,214 | $1.06M |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 18% | 3,769 | 3,526 | $618K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 16% | 3,283 | 3,036 | $565K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 20,206 | 3,091 | $500K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.6% | 4,513 | 4,364 | $302K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.8% | 789 | 684 | $135K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.9% | 2,252 | 2,026 | $103K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.7% | 432 | 398 | $60K |
| 99243 | 1.6% | 519 | 519 | $56K | |
| 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 | <1% | 568 | 533 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 939 | 825 | $31K |
| 99223 | Prolong inpt eval add15 m | <1% | 130 | 127 | $11K |
23 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 3,732 | $7K |
| 90756 | <1% | 323 | $7K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 452 | $6K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 445 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 349 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 439 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 97 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 49 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 17 | $2K |
| 90686 | <1% | 85 | $1K | |
| 83013 | <1% | 262 | $1K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 326 | $720.76 |
| G0008 | Administration of influenza virus vaccine | <1% | 68 | $680.63 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 71 | $622.91 |
| 90658 | <1% | 40 | $576.45 | |
| 88342 | <1% | 122 | $418.91 | |
| 90656 | <1% | 15 | $192.72 | |
| 99401 | <1% | 17 | $56.71 | |
| 88312 | <1% | 21 | $52.30 | |
| 88313 | <1% | 21 | $25.18 | |
| 94760 | <1% | 14 | $2.90 | |
| 99072 | 0% | 288 | $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 officialHAJJAR, BASSAM (PHYSICIAN)