Gastroenterology Associates, INC
Gastroenterology Associates, INC was paid $244K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 48% of everything it billed.
33Billing provider infoGASTROENTEROLOGY ASSOCIATES, INC
HILO, HI 96720
HILO, HI 96720
33aNPI1831202787assigned 08/16/2006
33bProvider typeSpecialist
28Total paid$244K
24GClaims2,785
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Hawaii
Rank by total paid#13 of 75
Median peer was paid$49K
This provider vs. median5.0×
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 | 696 | $48K | |
| 2019 | 644 | $63K | |
| 2020 | 353 | $34K | |
| 2021 | 449 | $38K | |
| 2022 | 365 | $29K | |
| 2023 | 193 | $21K | |
| 2024incomplete | 85 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 48% | 489 | 482 | $116K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 26% | 1,429 | 1,404 | $64K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 11% | 133 | 129 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.2% | 366 | 355 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 368 | 364 | $14K |
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 officialMONTELL, EDWIN (PRESIDENT)