Binghamton Gastroenterology Associates, PC

Binghamton Gastroenterology Associates, PC was paid $104K by Medicaid between Jan 2018 and Jun 2019, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 53% of everything it billed.

33Billing provider infoBINGHAMTON GASTROENTEROLOGY ASSOCIATES, PC
BINGHAMTON, NY 13903

33aNPI1538307616assigned 01/28/2009

33bProvider typeGastroenterology Physician

28Total paid$104K

24GClaims1,301

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#167 of 656

Median peer was paid$12K

This provider vs. median8.5×

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	855	$67K
2019	446	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	53%	571	571	$55K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	615	572	$40K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	6.7%	63	63	$7K
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	1.3%	14	14	$1K
99152		<1%	26	26	$134.29
36415	Collection of venous blood by venipuncture	<1%	12	12	$15.30

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 officialSCAGNELLI, GREGORY (PRESIDENT)