Physician
Nanticoke Gastroenterology, P.A.
Nanticoke Gastroenterology, P.A. was paid $278K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 33% of everything it billed.
33Billing provider infoNANTICOKE GASTROENTEROLOGY, P.A.
SEAFORD, DE 19973
SEAFORD, DE 19973
33aNPI1649311325assigned 02/08/2007
33bProvider typeGastroenterology Physician
28Total paid$278K
24GClaims5,019
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Gastroenterology Physician providers in Delaware
Rank by total paid#2 of 6
Median peer was paid$43K
This provider vs. median6.5×
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 | 1,245 | $18K | |
| 2019 | 1,384 | $44K | |
| 2020 | 805 | $71K | |
| 2021 | 569 | $53K | |
| 2022 | 589 | $59K | |
| 2023 | 343 | $26K | |
| 2024incomplete | 84 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 33% | 1,655 | 1,466 | $91K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 22% | 571 | 457 | $62K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,142 | 1,047 | $53K |
| 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 | 12% | 927 | 787 | $33K |
| 43235 | 8.7% | 540 | 437 | $24K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.1% | 123 | 99 | $11K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 41 | 26 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 20 | 15 | $1K |
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 officialMACKLER, BRADLEY (C.E.O.)