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
BECKLEY, WV 25801
33aNPI1881895100assigned 05/31/2007
33bProvider typeHealth Maintenance Organization
28Total paid$21K
24GClaims556
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2018
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 | 556 | $21K |
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 | 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)