Gastroenterology & Hepatology Consultants, PA

Gastroenterology & Hepatology Consultants, PA was paid $55K by Medicaid between Jan 2018 and Aug 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoGASTROENTEROLOGY & HEPATOLOGY CONSULTANTS, PA
WAKE FOREST, NC 27587

33aNPI1801095641assigned 07/12/2007

33bProvider typeGastroenterology Physician

28Total paid$55K

24GClaims1,953

24DCodes billed3

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Gastroenterology Physician providers in North Carolina

Rank by total paid#29 of 64

Median peer was paid$44K

This provider vs. median1.3×

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
2018	512	$10K
2019	360	$15K
2020	231	$13K
2021	405	$9K
2022	126	$2K
2023	215	$4K
2024incomplete	104	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	69%	1,076	804	$38K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	740	613	$17K
99072		<1%	137	123	$25.00

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.

From NPPES

Who's on the registration

Authorized officialDENTON, SUE (BILLING DEPT)