Nashville Gastroenterology & Hepatology
Nashville Gastroenterology & Hepatology was paid $1.66M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 18% of everything it billed.
33Billing provider infoNASHVILLE GASTROENTEROLOGY & HEPATOLOGY
NASHVILLE, TN 37211
NASHVILLE, TN 37211
33aNPI1598153520assigned 12/29/2014
33bProvider typeSpecialist
28Total paid$1.66M
24GClaims37,287
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#20 of 252
Median peer was paid$57K
This provider vs. median29×
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 | 6,382 | $251K | |
| 2019 | 5,303 | $189K | |
| 2020 | 4,987 | $159K | |
| 2021 | 4,240 | $145K | |
| 2022 | 4,637 | $202K | |
| 2023 | 6,746 | $369K | |
| 2024incomplete | 4,992 | $349K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 18% | 2,850 | 2,413 | $296K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 15% | 4,427 | 3,327 | $247K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 8,092 | 6,456 | $220K |
| 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 | 9.2% | 3,473 | 2,871 | $153K |
| 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 | 9.0% | 2,223 | 1,828 | $150K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 8.1% | 3,885 | 3,310 | $134K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.0% | 743 | 606 | $99K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 4.7% | 614 | 536 | $79K |
| 88313 | 3.3% | 2,908 | 2,421 | $54K | |
| 88312 | 2.8% | 1,409 | 1,153 | $47K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.6% | 1,175 | 1,030 | $43K |
| 88342 | 1.9% | 1,653 | 1,459 | $32K |
19 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 417 | $22K |
| 47000 | 1.3% | 256 | $21K | |
| 43249 | <1% | 75 | $13K | |
| 99242 | <1% | 245 | $12K | |
| 76942 | <1% | 243 | $10K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 305 | $9K |
| 43450 | <1% | 270 | $5K | |
| 99243 | <1% | 47 | $4K | |
| 87077 | <1% | 1,233 | $3K | |
| 88307 | <1% | 69 | $3K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 14 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 15 | $2K |
| 91200 | <1% | 55 | $1K | |
| 46221 | <1% | 13 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 82 | $369.65 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 198 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 68 | $0.00 |
| 1124F | 0% | 118 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 112 | $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 officialGILBERT, ANGIE (BILLING SPECIALIST)