Physician
Valley Gastroenterology Associates PC
Valley Gastroenterology Associates PC was paid $9K by Medicaid between Dec 2020 and Sep 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoVALLEY GASTROENTEROLOGY ASSOCIATES PC
BEAVER FALLS, PA 15010
BEAVER FALLS, PA 15010
33aNPI1891748877assigned 05/18/2006
33bProvider typeGastroenterology Physician
28Total paid$9K
24GClaims228
24DCodes billed4
24AFirst – last monthDec 2020 – Sep 2022
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#80 of 178
Median peer was paid$6K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 12 | $395.98 | |
| 2021 | 178 | $7K | |
| 2022 | 38 | $1K |
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 | 48% | 121 | 118 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 75 | 71 | $2K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 18% | 17 | 13 | $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 | 8.5% | 15 | 15 | $728.12 |
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 officialCURRENT, JONI (PRACTICE ADMINISTRATOR)