Physician
Gastroenterology Specialists INC
Gastroenterology Specialists INC was paid $32K by Medicaid between Jan 2018 and Mar 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoGASTROENTEROLOGY SPECIALISTS INC
CANTON, OH 44718
CANTON, OH 44718
33aNPI1831171974assigned 11/15/2005
33bProvider typeGastroenterology Physician
28Total paid$32K
24GClaims989
24DCodes billed12
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Gastroenterology Physician providers in Ohio
Rank by total paid#31 of 59
Median peer was paid$45K
This provider vs. median0.7×
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 | 212 | $5K | |
| 2019 | 301 | $9K | |
| 2020 | 76 | $5K | |
| 2021 | 209 | $7K | |
| 2022 | 66 | $2K | |
| 2023 | 125 | $4K |
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 | 25% | 207 | 165 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 381 | 221 | $6K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 16% | 170 | 149 | $5K |
| 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 | 10% | 58 | 52 | $3K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 9.1% | 12 | 12 | $3K |
| 00731 | 8.4% | 57 | 41 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.9% | 18 | 18 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 24 | 14 | $785.52 |
| 99223 | Prolong inpt eval add15 m | 1.9% | 17 | 15 | $630.08 |
| 00811 | 1.9% | 13 | 12 | $611.94 | |
| 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% | 12 | 12 | $320.49 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 20 | 15 | $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.
From NPPES
Who's on the registration
Authorized officialVAN NESS, MICHAEL (PRESIDENT)