Gastroenterology Associates of the Piedmont, P.A.
Gastroenterology Associates of the Piedmont, P.A. was paid $505K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 67% of everything it billed.
WINSTON SALEM, NC 27103
Next to other Gastroenterology Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 358 | $52K | |
| 2019 | 613 | $55K | |
| 2020 | 348 | $60K | |
| 2021 | 365 | $71K | |
| 2022 | 306 | $49K | |
| 2023 | 469 | $89K | |
| 2024incomplete | 643 | $128K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 67% | 1,698 | 1,506 | $337K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 17% | 404 | 336 | $84K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 11% | 268 | 232 | $55K |
| 43450 | 3.3% | 233 | 189 | $16K | |
| 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 | 1.3% | 258 | 113 | $6K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | 12 | $4K |
| 43235 | <1% | 17 | 12 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 120 | 31 | $1K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 92 | 91 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Cornerstone Health Care LLC | High Point, NC | $215K |
| Gastroenterology Associates of the Piedmont, P.A. | Winston Salem, NC | $212K |
| Cornerstone Health Care LLC | Kernersville, NC | $156K |
| Gastroenterology Associates of the Piedmont, P.A. | Winston-salem, NC | $55K |
| Cornerstone Health Care, LLC | Asheboro, NC | $52K |
| Cornerstone Health Care, LLC | High Point, NC | $30K |
| Cornerstone Health Care LLC | High Point, NC | $26K |
| Cornerstone Health Care, LLC | High Point, NC | $16K |
| Cornerstone Health Care, LLC | High Point, NC | $3K |
| Cornerstone Health Care LLC | High Point, NC | $2K |
| Cornerstone Health Care, LLC | Claremont, NC | $2K |
| Cornerstone Health Care LLC | Asheboro, NC | $621.92 |
| Cornerstone Health Care, LLC | Thomasville, NC | $596.15 |
| Cornerstone Health Care, LLC | Reidsville, NC | $397.60 |
| Cornerstone Health Care, LLC | High Point, NC | $30.47 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.