Physician
Wilmington Gastroenterology Associates,pa
Wilmington Gastroenterology Associates,pa was paid $337K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 58% of everything it billed.
33Billing provider infoWILMINGTON GASTROENTEROLOGY ASSOCIATES,PA
WILMINGTON, NC 28403
WILMINGTON, NC 28403
33aNPI1922040419assigned 06/11/2006
33bProvider typeGastroenterology Physician
28Total paid$337K
24GClaims5,913
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in North Carolina
Rank by total paid#15 of 64
Median peer was paid$44K
This provider vs. median7.7×
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 | 708 | $42K | |
| 2019 | 804 | $39K | |
| 2020 | 723 | $27K | |
| 2021 | 897 | $60K | |
| 2022 | 1,046 | $56K | |
| 2023 | 621 | $45K | |
| 2024incomplete | 1,114 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 58% | 2,009 | 1,468 | $195K |
| 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 | 25% | 2,199 | 1,553 | $85K |
| 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 | 6.6% | 291 | 201 | $22K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.7% | 832 | 292 | $19K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.9% | 177 | 139 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 65 | 26 | $2K |
| 00731 | <1% | 62 | 40 | $2K | |
| 43259 | <1% | 23 | 12 | $2K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 17 | 12 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 16 | 12 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 222 | 153 | $959.34 |
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 officialPETERSON, STEVEN (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Orthodontic Specialists of Madison | Madison, WI | $1.36M |
| Wilmington Gastroenterology Endoscopy Center, INC | Wilmington, NC | $564K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.