Gastrointestinal Associates, PC

Gastrointestinal Associates, PC was paid $292K by Medicaid between Jan 2018 and Nov 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoGASTROINTESTINAL ASSOCIATES, PC
WASHINGTON, DC 20017

33aNPI1942261706assigned 03/31/2006

33bProvider typeGastroenterology Physician

28Total paid$292K

24GClaims4,290

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Gastroenterology Physician providers in District of Columbia

Rank by total paid#6 of 10

Median peer was paid$292K

This provider vs. median1.0×

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	1,303	$100K
2019	1,126	$84K
2020	587	$21K
2021	718	$36K
2022	556	$49K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	2,613	2,333	$120K
99205	Prolong outpt/office vis	19%	468	434	$55K
99244	Office or other outpatient consultation, moderate to high complexity	11%	169	162	$33K
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	9.9%	216	211	$29K
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	9.4%	540	475	$27K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	4.0%	85	85	$12K
99245		2.8%	55	41	$8K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	2.0%	90	79	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	21	21	$858.96
99223	Prolong inpt eval add15 m	<1%	13	12	$448.33
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	20	13	$335.77

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 officialBROWN, KENNETH (CHAIRMAN OF THE BOARD)