Southend Gastroenterology Associates PLLC

Southend Gastroenterology Associates PLLC was paid $943K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 23% of everything it billed.

33Billing provider infoSOUTHEND GASTROENTEROLOGY ASSOCIATES PLLC
LOUISVILLE, KY 40215

33aNPI1932438272assigned 12/16/2009

33bProvider typeGastroenterology Physician

28Total paid$943K

24GClaims14,414

24DCodes billed14

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Kentucky

Rank by total paid#4 of 23

Median peer was paid$116K

This provider vs. median8.2×

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	102	$3K
2019	1,578	$105K
2020	2,370	$152K
2021	2,839	$179K
2022	2,937	$189K
2023	3,053	$202K
2024incomplete	1,535	$114K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	23%	2,368	1,841	$221K
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	16%	3,370	2,833	$149K
99244	Office or other outpatient consultation, moderate to high complexity	13%	1,197	1,029	$121K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	12%	750	539	$114K
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	11%	1,609	1,302	$103K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	8.4%	693	521	$79K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.9%	2,871	934	$74K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.8%	924	775	$27K
99254		2.4%	237	210	$22K
45380	Colonoscopy, flexible; with biopsy, single or multiple	1.8%	173	113	$17K
99223	Prolong inpt eval add15 m	1.3%	175	142	$12K
43235		<1%	19	14	$1K

2 more codes

99243		<1%	13	$1K
99203	Doctor's office visit, new patient (routine)	<1%	15	$480.36

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 officialJAIN, SANJAY (OWNER)

Same official

Other billing entities under JAIN, SANJAY

Full network →

Provider	Location	Paid
North Warren Medical Assoc	Hackettstown, NJ	$115K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.