Physician
Stonesprings Gastroenterology PLLC
Stonesprings Gastroenterology PLLC was paid $165K by Medicaid between Jul 2019 and May 2021, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 48% of everything it billed.
33Billing provider infoSTONESPRINGS GASTROENTEROLOGY PLLC
DULLES, VA 20166
DULLES, VA 20166
33aNPI1932763786assigned 04/26/2019
33bProvider typeGastroenterology Physician
28Total paid$165K
24GClaims6,285
24DCodes billed7
24AFirst – last monthJul 2019 – May 2021
Compared with peers
Next to other Gastroenterology Physician providers in Virginia
Rank by total paid#15 of 40
Median peer was paid$68K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2019 | 1,477 | $30K | |
| 2020 | 4,187 | $115K | |
| 2021 | 621 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 48% | 1,650 | 552 | $80K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 27% | 3,103 | 372 | $45K |
| 99307 | 7.5% | 744 | 216 | $12K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.9% | 296 | 102 | $11K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.8% | 339 | 157 | $11K |
| 99221 | 2.3% | 105 | 91 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 48 | 12 | $1K |
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 officialHOQUE, MOHAMMAD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Washington Gastroenterology PC | Arlington, VA | $378K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.