New England Gastroenterology Associates, PC

New England Gastroenterology Associates, PC was paid $11K by Medicaid between Mar 2018 and Mar 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoNEW ENGLAND GASTROENTEROLOGY ASSOCIATES, PC
WORCESTER, MA 01608

33aNPI1497753958assigned 07/08/2005

33bProvider typeGastroenterology Physician

28Total paid$11K

24GClaims313

24DCodes billed4

24AFirst – last monthMar 2018 – Mar 2023

Compared with peers

Next to other Gastroenterology Physician providers in Massachusetts

Rank by total paid#39 of 71

Median peer was paid$11K

This provider vs. median1.0×

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	97	$3K
2019	97	$3K
2020	39	$1K
2021	27	$1K
2022	28	$843.08
2023	25	$644.38

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	79%	261	260	$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	10%	27	27	$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	6.6%	12	12	$700.32
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	4.3%	13	13	$458.97

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 officialKRIMS, PETER (PRESIDENT)