Physician
Gastroenterologists of Ocean County PA
Gastroenterologists of Ocean County PA was paid $9K by Medicaid between Jan 2018 and Sep 2018, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 63% of everything it billed.
33Billing provider infoGASTROENTEROLOGISTS OF OCEAN COUNTY PA
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
33aNPI1861551624assigned 12/07/2006
33bProvider typeGastroenterology Physician
28Total paid$9K
24GClaims484
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Gastroenterology Physician providers in New Jersey
Rank by total paid#94 of 150
Median peer was paid$27K
This provider vs. median0.3×
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 | 484 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 63% | 372 | 217 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 48 | 48 | $1K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.9% | 13 | 12 | $853.26 |
| 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 | 6.1% | 12 | 12 | $524.54 |
| 00731 | 3.8% | 12 | 12 | $325.50 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.5% | 27 | 25 | $131.04 |
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 officialCOHEN, ALLAN (PRESIDENT)