Mid Valley Gastroenterology Associates, INC.
Mid Valley Gastroenterology Associates, INC. was paid $110K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 42% of everything it billed.
33Billing provider infoMID VALLEY GASTROENTEROLOGY ASSOCIATES, INC.
MIDDLETOWN, OH 45042
MIDDLETOWN, OH 45042
33aNPI1679637292assigned 12/20/2006
33bProvider typeSpecialist
28Total paid$110K
24GClaims2,467
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#85 of 219
Median peer was paid$46K
This provider vs. median2.4×
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 | 197 | $7K | |
| 2019 | 423 | $17K | |
| 2020 | 499 | $25K | |
| 2021 | 531 | $22K | |
| 2022 | 517 | $24K | |
| 2023 | 228 | $11K | |
| 2024incomplete | 72 | $3K |
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 | 42% | 972 | 953 | $47K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 35% | 1,105 | 1,070 | $39K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 10% | 112 | 109 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.4% | 110 | 109 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 82 | 78 | $3K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.2% | 12 | 12 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.0% | 12 | 12 | $2K |
| 43235 | 2.0% | 25 | 25 | $2K | |
| 88313 | <1% | 37 | 37 | $327.80 |
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 officialSMITH, BONNIE (OFFICE MANAGER)