Ulster Gastroenterology, PLLC
Ulster Gastroenterology, PLLC was paid $195K by Medicaid between Nov 2019 and Oct 2024, across 19 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 25% of everything it billed.
33Billing provider infoULSTER GASTROENTEROLOGY, PLLC
KINGSTON, NY 12401
KINGSTON, NY 12401
33aNPI1538597489assigned 10/30/2013
33bProvider typeSpecialist
28Total paid$195K
24GClaims1,697
24DCodes billed19
24AFirst – last monthNov 2019 – Oct 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#379 of 1,221
Median peer was paid$45K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2019 | 39 | $5K | |
| 2020 | 184 | $16K | |
| 2021 | 654 | $87K | |
| 2022 | 615 | $73K | |
| 2023 | 122 | $11K | |
| 2024incomplete | 83 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 25% | 355 | 332 | $49K |
| 43251 | 15% | 72 | 42 | $30K | |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 12% | 59 | 57 | $24K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 12% | 209 | 200 | $24K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 7.4% | 140 | 134 | $14K |
| A4550 | Surgical trays | 6.9% | 68 | 65 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 214 | 206 | $13K |
| 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 | 3.2% | 65 | 64 | $6K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 2.7% | 93 | 87 | $5K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.6% | 55 | 55 | $3K |
| 88342 | 1.4% | 53 | 53 | $3K | |
| 87428 | 1.4% | 71 | 68 | $3K |
7 more codes
| 88313 | 1.1% | 54 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 58 | $2K |
| 88312 | <1% | 54 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 38 | $624.92 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 12 | $461.76 |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 0% | 15 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 12 | $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 officialEL-SHAER, REHAM (PRIMARY MD)