Physician
Gastrointestinal Associates of Northeast Tennessee, PC
Gastrointestinal Associates of Northeast Tennessee, PC was paid $578K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 26% of everything it billed.
33Billing provider infoGASTROINTESTINAL ASSOCIATES OF NORTHEAST TENNESSEE, PC
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1578529632assigned 04/25/2006
33bProvider typeGastroenterology Physician
28Total paid$578K
24GClaims15,159
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Tennessee
Rank by total paid#5 of 50
Median peer was paid$19K
This provider vs. median31×
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 | 1,146 | $33K | |
| 2019 | 1,072 | $22K | |
| 2020 | 844 | $29K | |
| 2021 | 2,921 | $90K | |
| 2022 | 3,121 | $125K | |
| 2023 | 3,409 | $154K | |
| 2024incomplete | 2,646 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 26% | 3,181 | 2,744 | $152K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 23% | 1,616 | 1,355 | $131K |
| 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 | 21% | 3,801 | 3,405 | $120K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.8% | 2,195 | 1,231 | $45K |
| 88342 | 7.7% | 1,444 | 1,272 | $44K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 1,323 | 1,135 | $25K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.7% | 140 | 122 | $16K |
| 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 | 2.4% | 245 | 196 | $14K |
| 99221 | 1.5% | 431 | 365 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 206 | 187 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 310 | 184 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 84 | 71 | $3K |
5 more codes
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 officialRUTLEDGE, PENNY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Endoscopy Center of Northeast Tennessee, PC | Johnson City, TN | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.