NP / PA
JDJ Gastro PLLC
JDJ Gastro PLLC was paid $23K by Medicaid between May 2024 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoJDJ GASTRO PLLC
MADISONVILLE, KY 42431
MADISONVILLE, KY 42431
33aNPI1831956663assigned 02/28/2024
33bProvider typePhysician Assistant
28Total paid$23K
24GClaims621
24DCodes billed7
24AFirst – last monthMay 2024 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#147 of 214
Median peer was paid$134K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 621 | $23K |
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 | 36% | 319 | 279 | $8K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 31% | 116 | 97 | $7K |
| 76981 | 9.7% | 101 | 91 | $2K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 8.5% | 24 | 21 | $2K |
| 43248 | 8.5% | 17 | 16 | $2K | |
| 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 | 6.0% | 31 | 29 | $1K |
| 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% | 13 | 12 | $104.00 |
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 officialDACOSTA, JOHN (OWNER)