South Jersey Gastroenterology Consultants PA
South Jersey Gastroenterology Consultants PA was paid $54K by Medicaid between Jan 2018 and Jul 2023, across 9 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 31% of everything it billed.
33Billing provider infoSOUTH JERSEY GASTROENTEROLOGY CONSULTANTS PA
VINELAND, NJ 08360
VINELAND, NJ 08360
33aNPI1619126984assigned 09/11/2008
33bProvider typeSpecialist
28Total paid$54K
24GClaims1,544
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#201 of 378
Median peer was paid$63K
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 | 606 | $27K | |
| 2019 | 268 | $10K | |
| 2020 | 502 | $13K | |
| 2021 | 89 | $2K | |
| 2022 | 35 | $523.14 | |
| 2023 | 44 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 31% | 687 | 537 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 392 | 390 | $15K |
| 99253 | 23% | 173 | 165 | $12K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.2% | 29 | 29 | $3K |
| 99243 | 4.5% | 25 | 25 | $2K | |
| 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 | 3.7% | 72 | 72 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.1% | 119 | 109 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 17 | 16 | $574.13 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 30 | 29 | $494.40 |
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 officialHAMMOD, RIYADH (PRESIDENT)