Gcga Physicians INC.
Gcga Physicians INC. was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 47% of everything it billed.
CINCINNATI, OH 45219
Next to other Gastroenterology Physician providers in Ohio
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,805 | $111K | |
| 2019 | 2,463 | $139K | |
| 2020 | 3,333 | $201K | |
| 2021 | 4,547 | $280K | |
| 2022 | 6,387 | $385K | |
| 2023 | 6,697 | $486K | |
| 2024incomplete | 5,661 | $408K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 47% | 10,695 | 9,953 | $947K |
| 88342 | 12% | 3,661 | 3,432 | $250K | |
| 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% | 3,794 | 3,421 | $179K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.7% | 1,723 | 1,555 | $155K |
| 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 | 3.8% | 1,049 | 983 | $76K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 3.7% | 1,559 | 1,459 | $74K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 3,181 | 1,500 | $68K |
| 76981 | 2.8% | 815 | 783 | $57K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,613 | 1,479 | $50K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.5% | 1,287 | 1,193 | $50K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 92 | 88 | $19K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 562 | 281 | $17K |
13 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 338 | $16K |
| 99254 | <1% | 167 | $12K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 852 | $10K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 54 | $9K |
| 99223 | Prolong inpt eval add15 m | <1% | 144 | $8K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 42 | $6K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 30 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 35 | $2K |
| 91200 | <1% | 74 | $2K | |
| 99253 | <1% | 30 | $1K | |
| 99221 | <1% | 33 | $885.71 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $385.07 |
| 0346T | 0% | 35 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.