Physician
Metropolitan Gastroenterology PC
Metropolitan Gastroenterology PC was paid $1.89M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 32% of everything it billed.
33Billing provider infoMETROPOLITAN GASTROENTEROLOGY PC
ASTORIA, NY 11105
ASTORIA, NY 11105
33aNPI1528025756assigned 05/01/2006
33bProvider typeGastroenterology Physician
28Total paid$1.89M
24GClaims35,718
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#35 of 656
Median peer was paid$12K
This provider vs. median155×
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 | 2,533 | $86K | |
| 2019 | 3,333 | $150K | |
| 2020 | 4,814 | $229K | |
| 2021 | 7,874 | $379K | |
| 2022 | 7,836 | $391K | |
| 2023 | 6,697 | $358K | |
| 2024incomplete | 2,631 | $296K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 4,629 | 4,619 | $612K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 25% | 3,921 | 3,778 | $480K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 18% | 2,298 | 2,275 | $349K |
| 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 | 11% | 2,303 | 2,281 | $204K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.2% | 2,127 | 2,051 | $80K |
| 99441 | 3.2% | 1,483 | 1,418 | $60K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 363 | 363 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 476 | 471 | $32K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.6% | 181 | 181 | $30K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 30 | 30 | $6K |
| 99442 | <1% | 82 | 79 | $5K | |
| 99072 | <1% | 192 | 164 | $850.00 |
5 more codes
| 3017F | 0% | 3,007 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,370 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 36 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 7,982 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,238 | $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 officialRODITIS, NICHOLAS (PRESIDENT)