Gastrocare, Li PC

Gastrocare, Li PC was paid $219K by Medicaid between Apr 2018 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoGASTROCARE, LI PC
VALLEY STREAM, NY 11581

33aNPI1548350739assigned 10/16/2006

33bProvider typeGastroenterology Physician

28Total paid$219K

24GClaims2,236

24DCodes billed9

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#131 of 656

Median peer was paid$12K

This provider vs. median18×

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	37	$3K
2019	103	$9K
2020	311	$27K
2021	637	$69K
2022	765	$74K
2023	305	$28K
2024incomplete	78	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	41%	949	940	$89K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	30%	717	716	$65K
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	12%	191	191	$26K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	9.7%	147	146	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.2%	106	105	$7K
45380	Colonoscopy, flexible; with biopsy, single or multiple	2.6%	24	24	$6K
88305	Level IV - Surgical pathology, gross and microscopic examination	1.3%	51	50	$3K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	12	12	$2K
88313		<1%	39	38	$616.14

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 officialRIEDERS, BRADLEY (M.D.)