Physician
Danville Gastroenterology Center, PC
Danville Gastroenterology Center, PC was paid $793K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoDANVILLE GASTROENTEROLOGY CENTER, PC
DANVILLE, VA 24541
DANVILLE, VA 24541
33aNPI1689718736assigned 02/20/2007
33bProvider typeGastroenterology Physician
28Total paid$793K
24GClaims16,374
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Virginia
Rank by total paid#3 of 40
Median peer was paid$68K
This provider vs. median12×
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 | 1,670 | $32K | |
| 2019 | 4,262 | $200K | |
| 2020 | 1,885 | $84K | |
| 2021 | 1,934 | $69K | |
| 2022 | 1,796 | $94K | |
| 2023 | 2,488 | $162K | |
| 2024incomplete | 2,339 | $152K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 7,431 | 6,498 | $229K |
| 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 | 27% | 4,329 | 3,857 | $218K |
| 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 | 25% | 2,319 | 2,118 | $195K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.8% | 1,236 | 1,039 | $78K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.4% | 345 | 300 | $35K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.3% | 138 | 118 | $18K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.2% | 59 | 55 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 129 | 120 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 35 | 26 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 93 | 59 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | 12 | $560.50 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 247 | 224 | $149.23 |
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 officialPANDYA, BHUSHAN (PRESIDENT)