Physician
Central Alabama Gastroenterology,pc
Central Alabama Gastroenterology,pc was paid $75K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 38% of everything it billed.
33Billing provider infoCENTRAL ALABAMA GASTROENTEROLOGY,PC
ALEXANDER CITY, AL 35010
ALEXANDER CITY, AL 35010
33aNPI1538295241assigned 02/26/2007
33bProvider typeGastroenterology Physician
28Total paid$75K
24GClaims2,382
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Alabama
Rank by total paid#8 of 27
Median peer was paid$28K
This provider vs. median2.6×
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 | 468 | $9K | |
| 2019 | 590 | $11K | |
| 2020 | 254 | $8K | |
| 2021 | 379 | $18K | |
| 2022 | 370 | $16K | |
| 2023 | 186 | $7K | |
| 2024incomplete | 135 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 38% | 389 | 260 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 1,223 | 931 | $22K |
| 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% | 650 | 514 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.4% | 105 | 99 | $6K |
| 43249 | <1% | 15 | 12 | $661.58 |
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 officialHOLCOMBE, DEREK (PRESIDENT)