Physician
Connecticut Gastroenterology Assoc PC
Connecticut Gastroenterology Assoc PC was paid $476K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 24% of everything it billed.
33Billing provider infoCONNECTICUT GASTROENTEROLOGY ASSOC PC
HARTFORD, CT 06105
HARTFORD, CT 06105
33aNPI1700917523assigned 03/07/2007
33bProvider typeGastroenterology Physician
28Total paid$476K
24GClaims22,664
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Connecticut
Rank by total paid#5 of 19
Median peer was paid$164K
This provider vs. median2.9×
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 | 5,247 | $101K | |
| 2019 | 3,615 | $73K | |
| 2020 | 1,749 | $35K | |
| 2021 | 3,105 | $75K | |
| 2022 | 4,012 | $80K | |
| 2023 | 3,053 | $67K | |
| 2024incomplete | 1,883 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 24% | 1,346 | 1,283 | $115K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 20% | 2,102 | 1,963 | $97K |
| 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 | 15% | 1,694 | 1,609 | $71K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,880 | 2,708 | $69K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 1,321 | 1,236 | $53K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.4% | 89 | 88 | $16K |
| 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 | 3.3% | 191 | 184 | $16K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.0% | 69 | 67 | $10K |
| 99221 | 1.9% | 279 | 261 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 209 | 202 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 294 | 184 | $4K |
| 88313 | <1% | 36 | 36 | $4K |
17 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 71 | $2K |
| 88312 | <1% | 24 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 57 | $1K |
| 99243 | <1% | 39 | $953.16 | |
| 99253 | <1% | 13 | $736.23 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $586.96 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 4,026 | $0.00 |
| 3017F | 0% | 1,507 | $0.00 | |
| 1036F | 0% | 1,653 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 273 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 52 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 134 | $0.00 |
| 3074F | 0% | 49 | $0.00 | |
| 3079F | 0% | 27 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 3,991 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 189 | $0.00 |
| 3078F | 0% | 33 | $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.
From NPPES
Who's on the registration
Authorized officialBUTENSKY, MICHAEL (PRESIDENT)