Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

New England Consultants in Gastroenterology and Hepatology PC

New England Consultants in Gastroenterology and Hepatology PC was paid $90K by Medicaid between Aug 2021 and Jun 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.

33Billing provider infoNEW ENGLAND CONSULTANTS IN GASTROENTEROLOGY AND HEPATOLOGY PC
FRAMINGHAM, MA 01702
33aNPI1942654850assigned 04/17/2016
28Total paid$90K
24GClaims1,042
24DCodes billed3
24AFirst – last monthAug 2021 – Jun 2023
Compared with peers

Next to other Gastroenterology Physician providers in Massachusetts

Rank by total paid#17 of 71
Median peer was paid$11K
This provider vs. median8.1×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2021190$16K
2022609$53K
2023243$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 84% 895 837 $75K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12% 120 120 $11K
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 3.8% 27 27 $3K

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 officialBOWER, PEGGY (OFFICE MANAGER)