Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WV › Beckley › NPI 1881895100
Managed care

Appalachian Gastroenterology, PLLC

Appalachian Gastroenterology, PLLC was paid $21K by Medicaid between Jan 2018 and Jul 2018, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoAPPALACHIAN GASTROENTEROLOGY, PLLC
BECKLEY, WV 25801
33aNPI1881895100assigned 05/31/2007
28Total paid$21K
24GClaims556
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2018
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
2018556$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 267 260 $7K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 32% 113 46 $7K
99222 Initial hospital care, per day, moderate complexity 16% 62 52 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 7.9% 39 12 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7.6% 31 28 $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 2.9% 12 12 $613.73
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.3% 32 32 $496.54

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 officialNAZER, HUSAM (OWNER)