Gastroenterology Assoc of Central Virginia INC

Gastroenterology Assoc of Central Virginia INC was paid $281K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 65% of everything it billed.

33Billing provider infoGASTROENTEROLOGY ASSOC OF CENTRAL VIRGINIA INC
LYNCHBURG, VA 24502

33aNPI1588748016assigned 10/24/2006

33bProvider typeGastroenterology Physician

28Total paid$281K

24GClaims3,635

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Virginia

Rank by total paid#10 of 40

Median peer was paid$68K

This provider vs. median4.1×

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	583	$13K
2019	968	$48K
2020	572	$45K
2021	468	$46K
2022	529	$46K
2023	297	$47K
2024incomplete	218	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	65%	1,148	962	$182K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	522	475	$32K
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	8.9%	416	389	$25K
99221		5.0%	533	435	$14K
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	2.9%	106	93	$8K
00731		2.0%	84	75	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	2.0%	564	307	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	104	93	$4K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	49	43	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	82	63	$1K
00811		<1%	13	13	$979.84
43235		<1%	14	12	$886.19

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 officialNUNN, CHALMERS (CEO)