Lower Manhattan Gastroenterology Group, P.C.

Lower Manhattan Gastroenterology Group, P.C. was paid $626K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 33% of everything it billed.

33Billing provider infoLOWER MANHATTAN GASTROENTEROLOGY GROUP, P.C.
NEW YORK, NY 10010

33aNPI1538115837assigned 05/26/2006

33bProvider typeGastroenterology Physician

28Total paid$626K

24GClaims5,498

24DCodes billed13

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#71 of 656

Median peer was paid$12K

This provider vs. median51×

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	663	$86K
2019	764	$89K
2020	588	$60K
2021	946	$96K
2022	664	$74K
2023	908	$115K
2024incomplete	965	$105K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	33%	1,365	1,290	$208K
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	24%	1,717	1,660	$151K
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	17%	785	780	$103K
88305	Level IV - Surgical pathology, gross and microscopic examination	8.8%	428	407	$55K
45380	Colonoscopy, flexible; with biopsy, single or multiple	6.5%	254	253	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	238	229	$14K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.3%	152	149	$14K
88342		1.7%	135	135	$10K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	1.6%	38	38	$10K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	1.5%	42	42	$9K
88313		1.3%	218	216	$8K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	113	111	$2K

1 more codes

88312

<1%

$216.98

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 officialSAYAD, KARIM (PRESIDENT)