Clinic
West Side Gi, LLC
West Side Gi, LLC was paid $12.96M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 41% of everything it billed.
33Billing provider infoWEST SIDE GI, LLC
NEW YORK, NY 10019
NEW YORK, NY 10019
33aNPI1588938682assigned 03/07/2012
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$12.96M
24GClaims39,047
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in New York
Rank by total paid#3 of 118
Median peer was paid$390K
This provider vs. median33×
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 | 2,698 | $372K | |
| 2019 | 3,037 | $805K | |
| 2020 | 5,239 | $1.89M | |
| 2021 | 7,180 | $2.53M | |
| 2022 | 6,943 | $2.51M | |
| 2023 | 7,487 | $2.60M | |
| 2024incomplete | 6,463 | $2.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 41% | 10,769 | 10,680 | $5.33M |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 22% | 5,445 | 5,417 | $2.88M |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 10% | 2,777 | 2,758 | $1.31M |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 7.7% | 1,944 | 1,928 | $996K |
| 00731 | 6.6% | 8,046 | 8,020 | $854K | |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 5.9% | 1,499 | 1,488 | $765K |
| 00811 | 3.2% | 4,491 | 4,475 | $414K | |
| 00812 | 2.6% | 3,550 | 3,539 | $335K | |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | <1% | 96 | 96 | $45K |
| 00813 | <1% | 226 | 226 | $27K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 116 | 113 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 44 | 42 | $0.00 |
1 more codes
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 44 | $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 officialFRASCO, CHRISTINE (DIRECTOR, HUMAN RESOURCES)