Auburn Gastroenterology, LLC

Auburn Gastroenterology, LLC was paid $9K by Medicaid between Oct 2019 and Jun 2023, across 3 billing codes. Its largest line is 43235, — 49% of everything it billed.

33Billing provider infoAUBURN GASTROENTEROLOGY, LLC
AUBURN, AL 36830

33aNPI1497135347assigned 06/05/2015

33bProvider typeGastroenterology Physician

28Total paid$9K

24GClaims106

24DCodes billed3

24AFirst – last monthOct 2019 – Jun 2023

Compared with peers

Next to other Gastroenterology Physician providers in Alabama

Rank by total paid#17 of 27

Median peer was paid$28K

This provider vs. median0.3×

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
2019	17	$823.56
2020	14	$1K
2023	75	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43235		49%	44	44	$4K
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	33%	46	41	$3K
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	18%	16	16	$2K

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 officialJONES, BRICE (MANAGER)