Southwest Gastroenterology Associates
Southwest Gastroenterology Associates was paid $693K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoSOUTHWEST GASTROENTEROLOGY ASSOCIATES
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1902931728assigned 02/22/2007
33bProvider typeSpecialist
28Total paid$693K
24GClaims7,461
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Mexico
Rank by total paid#21 of 53
Median peer was paid$279K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2018 | 1,450 | $120K | |
| 2019 | 1,029 | $92K | |
| 2020 | 802 | $73K | |
| 2021 | 1,017 | $98K | |
| 2022 | 1,235 | $104K | |
| 2023 | 996 | $97K | |
| 2024incomplete | 932 | $109K |
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 | 37% | 3,362 | 3,272 | $257K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 16% | 1,071 | 1,056 | $109K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 442 | 436 | $81K |
| 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 | 10% | 563 | 559 | $70K |
| 99222 | Initial hospital care, per day, moderate complexity | 10% | 662 | 646 | $70K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 283 | 246 | $19K |
| 00731 | 2.4% | 174 | 168 | $17K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.0% | 41 | 41 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 277 | 272 | $14K |
| 00813 | 1.8% | 107 | 103 | $13K | |
| 88342 | 1.6% | 223 | 222 | $11K | |
| 99205 | Prolong outpt/office vis | 1.4% | 46 | 46 | $10K |
6 more codes
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 officialLYNN, ROBERT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Freedom Family Medical Services LLC | Boulder City, NV | $230K |
| Newark Emergency Medical Providers LLC | Newark, DE | $914.38 |
| Advanced Access Medical Care, PLLC | Bronx, NY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.