Physician
Rochester Gastroenterology Associates
Rochester Gastroenterology Associates was paid $151K by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoROCHESTER GASTROENTEROLOGY ASSOCIATES
ROCHESTER, NY 14626
ROCHESTER, NY 14626
33aNPI1710941927assigned 04/14/2006
33bProvider typeGastroenterology Physician
28Total paid$151K
24GClaims3,050
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#146 of 656
Median peer was paid$12K
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 | 376 | $13K | |
| 2019 | 594 | $20K | |
| 2020 | 410 | $16K | |
| 2021 | 492 | $22K | |
| 2022 | 394 | $27K | |
| 2023 | 665 | $44K | |
| 2024incomplete | 119 | $8K |
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 | 36% | 1,008 | 1,004 | $54K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 29% | 282 | 281 | $43K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 15% | 1,236 | 1,227 | $22K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.9% | 25 | 25 | $7K |
| 99442 | 4.1% | 187 | 186 | $6K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 83 | 83 | $6K |
| A4649 | Surgical supply; miscellaneous | 2.8% | 14 | 13 | $4K |
| 99152 | 2.0% | 177 | 175 | $3K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.8% | 14 | 14 | $3K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.2% | 12 | 12 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $503.89 |
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 officialKOTHARI, TARUN (OWNER)