Physician
Pediatric Gastroenterology of Richmond, P.C.
Pediatric Gastroenterology of Richmond, P.C. was paid $667K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoPEDIATRIC GASTROENTEROLOGY OF RICHMOND, P.C.
RICHMOND, VA 23226
RICHMOND, VA 23226
33aNPI1922325919assigned 04/29/2010
33bProvider typePediatric Gastroenterology Physician
28Total paid$667K
24GClaims7,454
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in Virginia
Rank by total paid#1 of 14
Median peer was paid$5K
This provider vs. median135×
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 | 783 | $48K | |
| 2019 | 1,455 | $95K | |
| 2020 | 1,056 | $96K | |
| 2021 | 1,093 | $106K | |
| 2022 | 1,081 | $112K | |
| 2023 | 1,062 | $113K | |
| 2024incomplete | 924 | $96K |
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 | 59% | 4,686 | 4,512 | $390K |
| 99205 | Prolong outpt/office vis | 27% | 1,164 | 1,134 | $181K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.1% | 445 | 437 | $47K |
| 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 | 4.5% | 251 | 237 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 260 | 252 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 25 | 22 | $3K |
| 82272 | <1% | 623 | 531 | $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 officialVILLALONA, JUAN (OWNER)