Clinic
Gastro Care, LLC
Gastro Care, LLC was paid $768K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 66% of everything it billed.
33Billing provider infoGASTRO CARE, LLC
SPRINGFIELD, OH 45503
SPRINGFIELD, OH 45503
33aNPI1740424944assigned 05/01/2009
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$768K
24GClaims2,748
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Ohio
Rank by total paid#26 of 100
Median peer was paid$222K
This provider vs. median3.5×
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 | 430 | $118K | |
| 2019 | 350 | $91K | |
| 2020 | 370 | $99K | |
| 2021 | 524 | $151K | |
| 2022 | 419 | $119K | |
| 2023 | 374 | $105K | |
| 2024incomplete | 281 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 66% | 1,805 | 1,697 | $508K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 22% | 668 | 630 | $169K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 11% | 249 | 233 | $83K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.1% | 26 | 25 | $9K |
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 officialAJIT, CHALLA (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Challa Ajit, M.D. LLC | Springfield, OH | $694K |
| Mid West Anesthesia LLC | Springfield, OH | $46K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.