Physician
Gastrointestinal Associates S.C.
Gastrointestinal Associates S.C. was paid $351K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 67% of everything it billed.
33Billing provider infoGASTROINTESTINAL ASSOCIATES S.C.
WAUSAU, WI 54401
WAUSAU, WI 54401
33aNPI1760546949assigned 12/21/2006
33bProvider typeGastroenterology Physician
28Total paid$351K
24GClaims3,823
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Wisconsin
Rank by total paid#3 of 10
Median peer was paid$31K
This provider vs. median11×
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 | 462 | $31K | |
| 2019 | 639 | $60K | |
| 2020 | 423 | $50K | |
| 2021 | 630 | $52K | |
| 2022 | 543 | $54K | |
| 2023 | 770 | $77K | |
| 2024incomplete | 356 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 67% | 1,881 | 1,770 | $237K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 16% | 332 | 305 | $56K |
| 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 | 8.9% | 874 | 818 | $31K |
| 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 | 3.3% | 217 | 198 | $12K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.0% | 105 | 98 | $7K |
| 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% | 177 | 167 | $3K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | 12 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 170 | 116 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $531.49 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 29 | 14 | $340.91 |
| 82272 | <1% | 14 | 13 | $49.80 |
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 officialCOHRS, JENNIFER (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Gastrointestinal Associates Endoscopy Center, LLC | Stevens Point, WI | $773.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.