Physician
Professional Gastroenterology Associates PA
Professional Gastroenterology Associates PA was paid $721K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 39% of everything it billed.
33Billing provider infoPROFESSIONAL GASTROENTEROLOGY ASSOCIATES PA
CHERRY HILL, NJ 08003
CHERRY HILL, NJ 08003
33aNPI1639247786assigned 11/30/2006
33bProvider typeGastroenterology Physician
28Total paid$721K
24GClaims12,390
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in New Jersey
Rank by total paid#9 of 150
Median peer was paid$27K
This provider vs. median27×
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 | 2,045 | $153K | |
| 2019 | 2,274 | $122K | |
| 2020 | 2,034 | $78K | |
| 2021 | 1,537 | $104K | |
| 2022 | 1,244 | $81K | |
| 2023 | 1,727 | $101K | |
| 2024incomplete | 1,529 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 39% | 2,432 | 2,378 | $280K |
| 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 | 26% | 4,758 | 4,532 | $188K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 24% | 1,354 | 1,300 | $176K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 1,274 | 1,218 | $41K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 419 | 381 | $22K |
| 99243 | 1.6% | 138 | 138 | $12K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | 13 | $2K |
| 43450 | <1% | 64 | 64 | $1K | |
| 43499 | <1% | 51 | 51 | $609.65 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,051 | 1,033 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 86 | 86 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 725 | 722 | $0.00 |
1 more codes
| 1036F | 0% | 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 officialWERBITT, WARREN (AUTHORIZED OFFICIAL)