Fall Hill Gastroenterology Associates, LTD.

Fall Hill Gastroenterology Associates, LTD. was paid $11K by Medicaid between Nov 2018 and Jun 2023, across 2 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 82% of everything it billed.

33Billing provider infoFALL HILL GASTROENTEROLOGY ASSOCIATES, LTD.
FREDERICKSBURG, VA 22401

33aNPI1902991151assigned 10/04/2006

33bProvider typeGastroenterology Physician

28Total paid$11K

24GClaims260

24DCodes billed2

24AFirst – last monthNov 2018 – Jun 2023

Compared with peers

Next to other Gastroenterology Physician providers in Virginia

Rank by total paid#30 of 40

Median peer was paid$68K

This provider vs. median0.2×

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	24	$240.20
2019	138	$4K
2020	28	$1K
2021	40	$3K
2023	30	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	82%	127	118	$9K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	18%	133	66	$2K

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 officialBONIFACE, JOHN (MANAGING PHYSICIAN)