NNM Gastroenterology Associates PA
NNM Gastroenterology Associates PA was paid $734K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.
33Billing provider infoNNM GASTROENTEROLOGY ASSOCIATES PA
SANTA FE, NM 87505
SANTA FE, NM 87505
33aNPI1699881417assigned 08/22/2006
33bProvider typeSpecialist
28Total paid$734K
24GClaims6,289
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New Mexico
Rank by total paid#20 of 53
Median peer was paid$279K
This provider vs. median2.6×
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 | 1,244 | $126K | |
| 2019 | 741 | $72K | |
| 2020 | 796 | $87K | |
| 2021 | 921 | $91K | |
| 2022 | 1,028 | $121K | |
| 2023 | 842 | $120K | |
| 2024incomplete | 717 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 65% | 4,507 | 4,379 | $480K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.6% | 300 | 287 | $56K |
| 99205 | Prolong outpt/office vis | 6.1% | 327 | 323 | $45K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.4% | 134 | 131 | $40K |
| 43235 | 4.6% | 230 | 225 | $34K | |
| 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 | 4.2% | 405 | 401 | $31K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.1% | 52 | 50 | $15K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.7% | 36 | 36 | $13K |
| 99245 | <1% | 30 | 29 | $6K | |
| 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 | <1% | 44 | 43 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 16 | 16 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 24 | 24 | $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 officialMENDIOLA, LISA (ADMINISTRATIVE ASST)