Northeast Gastroenterology Associates INC

Northeast Gastroenterology Associates INC was paid $50K by Medicaid between Jan 2018 and Jan 2021, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 60% of everything it billed.

33Billing provider infoNORTHEAST GASTROENTEROLOGY ASSOCIATES INC
PHILA, PA 19115

33aNPI1801926209assigned 03/06/2007

33bProvider typeGastroenterology Physician

28Total paid$50K

24GClaims756

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Gastroenterology Physician providers in Pennsylvania

Rank by total paid#37 of 178

Median peer was paid$6K

This provider vs. median8.7×

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	112	$298.00
2020	404	$30K
2021	240	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	60%	93	91	$30K
99243		19%	107	107	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	229	226	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.1%	327	214	$5K

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 officialMAYER, EUGENE (PRESIDENT)