Physician
Colorectal Surgical & Gastroenterology Associates PSC
Colorectal Surgical & Gastroenterology Associates PSC was paid $92K by Medicaid between Mar 2018 and Apr 2024, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 49% of everything it billed.
33Billing provider infoCOLORECTAL SURGICAL & GASTROENTEROLOGY ASSOCIATES PSC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1750382677assigned 08/02/2005
33bProvider typeColon & Rectal Surgery Physician
28Total paid$92K
24GClaims1,862
24DCodes billed7
24AFirst – last monthMar 2018 – Apr 2024
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 | 91 | $5K | |
| 2019 | 102 | $6K | |
| 2020 | 454 | $18K | |
| 2021 | 761 | $41K | |
| 2022 | 169 | $9K | |
| 2023 | 203 | $9K | |
| 2024incomplete | 82 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 615 | 551 | $45K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 28% | 758 | 684 | $26K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.9% | 93 | 84 | $9K |
| 45300 | 6.2% | 264 | 232 | $6K | |
| 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 | 5.7% | 105 | 101 | $5K |
| 88312 | <1% | 15 | 15 | $565.77 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | 12 | $563.86 |
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 officialFOX, JOHN (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Specialists of Marion County PLLC | South Pittsburg, TN | $1.70M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.