Physician
Gastroenterology Care Specialists, LLC
Gastroenterology Care Specialists, LLC was paid $117K by Medicaid between Dec 2019 and Sep 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 28% of everything it billed.
33Billing provider infoGASTROENTEROLOGY CARE SPECIALISTS, LLC
CRESTVIEW, FL 32539
CRESTVIEW, FL 32539
33aNPI1750922399assigned 10/04/2019
33bProvider typeGastroenterology Physician
28Total paid$117K
24GClaims7,080
24DCodes billed9
24AFirst – last monthDec 2019 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in Florida
Rank by total paid#33 of 166
Median peer was paid$27K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2019 | 232 | $2K | |
| 2020 | 1,510 | $27K | |
| 2021 | 2,415 | $48K | |
| 2022 | 1,385 | $17K | |
| 2023 | 1,344 | $17K | |
| 2024incomplete | 194 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 2,357 | 375 | $32K |
| 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 | 25% | 1,618 | 1,100 | $29K |
| 99222 | Initial hospital care, per day, moderate complexity | 13% | 532 | 360 | $15K |
| 99223 | Prolong inpt eval add15 m | 12% | 679 | 337 | $14K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.3% | 1,184 | 187 | $11K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.1% | 626 | 359 | $11K |
| 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 | 3.0% | 50 | 39 | $4K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 17 | 13 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 17 | 13 | $100.46 |
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 officialMOUSSA, KHALID (DR)