Physician
Metropolitan Gastroenterology Associates Apmc
Metropolitan Gastroenterology Associates Apmc was paid $1.25M by Medicaid between Jan 2018 and Feb 2021, across 17 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 39% of everything it billed.
33Billing provider infoMETROPOLITAN GASTROENTEROLOGY ASSOCIATES APMC
MARRERO, LA 70072
MARRERO, LA 70072
33aNPI1902822547assigned 07/15/2006
33bProvider typeGastroenterology Physician
28Total paid$1.25M
24GClaims22,176
24DCodes billed17
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Gastroenterology Physician providers in Louisiana
Rank by total paid#5 of 33
Median peer was paid$83K
This provider vs. median15×
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 | 12,667 | $767K | |
| 2019 | 4,489 | $229K | |
| 2020 | 3,847 | $187K | |
| 2021 | 1,173 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 39% | 5,318 | 4,912 | $490K |
| 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 | 9.9% | 3,219 | 2,976 | $124K |
| 88312 | 9.4% | 2,566 | 2,404 | $118K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 4,180 | 3,864 | $109K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 8.2% | 775 | 722 | $103K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.0% | 2,813 | 1,716 | $75K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 537 | 486 | $44K |
| 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 | 3.4% | 561 | 537 | $43K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.4% | 122 | 113 | $31K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.0% | 762 | 715 | $25K |
| 99205 | Prolong outpt/office vis | 1.9% | 190 | 184 | $24K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.6% | 114 | 103 | $21K |
5 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 521 | $19K |
| 99203 | Doctor's office visit, new patient (routine) | 1.4% | 364 | $17K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 39 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 55 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 40 | $629.77 |
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 officialHAMBACHER, KARL (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Metropolitan Anesthesia LLC | Marrero, LA | $202K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.