Gastroenterology Specialists of Delaware LLC
Gastroenterology Specialists of Delaware LLC was paid $93K by Medicaid between Jan 2018 and Mar 2023, across 10 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 37% of everything it billed.
33Billing provider infoGASTROENTEROLOGY SPECIALISTS OF DELAWARE LLC
NEWARK, DE 19702
NEWARK, DE 19702
33aNPI1609876630assigned 08/01/2005
33bProvider typeSpecialist
28Total paid$93K
24GClaims1,500
24DCodes billed10
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Specialist providers in Delaware
Rank by total paid#16 of 27
Median peer was paid$103K
This provider vs. median0.9×
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 | 464 | $1K | |
| 2019 | 413 | $4K | |
| 2020 | 271 | $33K | |
| 2021 | 149 | $26K | |
| 2022 | 186 | $28K | |
| 2023 | 17 | $727.81 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 37% | 99 | 95 | $34K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 35% | 230 | 219 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 936 | 848 | $20K |
| 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 | 3.8% | 50 | 49 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 26 | 25 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 28 | 28 | $941.97 |
| 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 | <1% | 12 | 12 | $920.96 |
| 88313 | 0% | 15 | 13 | $0.00 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 76 | 67 | $0.00 |
| 88342 | 0% | 28 | 25 | $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 officialBENES, GEORGE (OWNER/PARTNER)