Tri-Cities Gastroenterology, PC

Tri-Cities Gastroenterology, PC was paid $182K by Medicaid between Mar 2018 and Oct 2024, across 10 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 19% of everything it billed.

33Billing provider infoTRI-CITIES GASTROENTEROLOGY, PC
CHESTER, VA 23836

33aNPI1538128277assigned 03/21/2006

33bProvider typeGastroenterology Physician

28Total paid$182K

24GClaims3,144

24DCodes billed10

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Virginia

Rank by total paid#13 of 40

Median peer was paid$68K

This provider vs. median2.7×

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	182	$6K
2019	445	$16K
2020	523	$33K
2021	587	$36K
2022	653	$47K
2023	605	$37K
2024incomplete	149	$6K

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	19%	363	341	$35K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	19%	592	544	$34K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	904	793	$34K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	17%	461	380	$31K
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	15%	412	393	$28K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	3.9%	57	51	$7K
99221		2.9%	128	111	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.4%	125	67	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.1%	41	39	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	61	34	$1K

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 officialLEMITE, GREGORY (PRESIDENT)