Physician
Avamar Gastroenterology, INC.
Avamar Gastroenterology, INC. was paid $420K by Medicaid between Jun 2019 and Nov 2024, across 9 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 21% of everything it billed.
33Billing provider infoAVAMAR GASTROENTEROLOGY, INC.
WARREN, OH 44484
WARREN, OH 44484
33aNPI1780869909assigned 01/07/2008
33bProvider typeGastroenterology Physician
28Total paid$420K
24GClaims7,342
24DCodes billed9
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Ohio
Rank by total paid#18 of 59
Median peer was paid$45K
This provider vs. median9.3×
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 | 1,147 | $69K | |
| 2020 | 1,383 | $72K | |
| 2021 | 1,792 | $99K | |
| 2022 | 1,268 | $72K | |
| 2023 | 1,078 | $70K | |
| 2024incomplete | 674 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 21% | 2,097 | 1,682 | $89K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 20% | 660 | 621 | $85K |
| 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 | 15% | 1,205 | 1,128 | $64K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,762 | 1,637 | $56K |
| 88313 | 8.0% | 460 | 413 | $34K | |
| 88312 | 8.0% | 487 | 437 | $33K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.7% | 214 | 202 | $28K |
| 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 | 6.5% | 394 | 375 | $27K |
| 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% | 63 | 58 | $3K |
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 officialSTEINBECK, BARBARA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Avamar Center for Endoscopy,inc | Warren, OH | $525K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.