Richmond Gastroenterology Associates, INC.
Richmond Gastroenterology Associates, INC. was paid $409K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 37% of everything it billed.
33Billing provider infoRICHMOND GASTROENTEROLOGY ASSOCIATES, INC.
NORTH CHESTERFIELD, VA 23236
NORTH CHESTERFIELD, VA 23236
33aNPI1639127962assigned 05/05/2006
33bProvider typeSpecialist
28Total paid$409K
24GClaims6,914
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#49 of 231
Median peer was paid$47K
This provider vs. median8.7×
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 | 226 | $4K | |
| 2019 | 1,631 | $80K | |
| 2020 | 535 | $32K | |
| 2021 | 1,402 | $92K | |
| 2022 | 1,035 | $63K | |
| 2023 | 1,048 | $75K | |
| 2024incomplete | 1,037 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 1,681 | 1,577 | $150K |
| 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 | 16% | 1,089 | 996 | $64K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 911 | 771 | $63K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 1,909 | 947 | $61K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.5% | 418 | 373 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 308 | 288 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 402 | 373 | $16K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 26 | 24 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | 29 | $3K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | 12 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 108 | 57 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 19 | 18 | $861.80 |
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 officialCOLON, SHELLEY (BUSINESS ADMINISTRATOR)