Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Aaa Gastrointestinal PC

Aaa Gastrointestinal PC was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 20% of everything it billed.

33Billing provider infoAAA GASTROINTESTINAL PC
NEW YORK, NY 10033
33aNPI1841562758assigned 02/08/2012
28Total paid$1.27M
24GClaims12,096
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#43 of 656
Median peer was paid$12K
This provider vs. median104×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,254$131K
2019914$115K
2020822$83K
20212,237$183K
20221,952$247K
20232,663$292K
2024incomplete2,254$214K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 20% 1,670 1,628 $259K
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 11% 969 960 $137K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 10% 623 622 $132K
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 9.3% 1,463 1,442 $117K
88305 Level IV - Surgical pathology, gross and microscopic examination 8.1% 1,023 1,011 $103K
99205 Prolong outpt/office vis 6.4% 571 571 $81K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.3% 1,065 1,034 $80K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.9% 743 737 $75K
45380 Colonoscopy, flexible; with biopsy, single or multiple 5.6% 419 408 $71K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.0% 498 497 $50K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 3.5% 174 174 $44K
88342 2.6% 566 445 $33K
12 more codes
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.9% 353 $25K
88313 1.6% 657 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 428 $18K
88312 <1% 255 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 242 $5K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 27 $5K
83013 <1% 12 $748.40
91200 <1% 12 $280.10
83014 <1% 12 $87.30
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility <1% 64 $0.49
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis <1% 64 $0.49
99000 0% 186 $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 officialHERNANDEZ, LINCOLN (OWNER)