Gastroenterology Associates PA

Gastroenterology Associates PA was paid $16K by Medicaid between Feb 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoGASTROENTEROLOGY ASSOCIATES PA
HICKORY, NC 28601

33aNPI1750346748assigned 04/20/2006

33bProvider typeGastroenterology Physician

28Total paid$16K

24GClaims362

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in North Carolina

Rank by total paid#45 of 64

Median peer was paid$44K

This provider vs. median0.4×

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	96	$1K
2019	108	$4K
2020	12	$559.37
2021	28	$2K
2023	31	$1K
2024incomplete	87	$7K

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	39%	232	178	$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	27%	42	41	$4K
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	17%	61	56	$3K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	8.6%	13	12	$1K
99242		7.2%	14	13	$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 officialMCINTIRE, TONYA (REVENUE CYCLE TEAM LEAD)