Premier Gastroenterology, PA
Premier Gastroenterology, PA was paid $554K by Medicaid between Feb 2018 and Dec 2024, across 15 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 48% of everything it billed.
33Billing provider infoPREMIER GASTROENTEROLOGY, PA
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1952306599assigned 06/20/2005
33bProvider typeSpecialist
28Total paid$554K
24GClaims8,866
24DCodes billed15
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#47 of 172
Median peer was paid$83K
This provider vs. median6.7×
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 | 245 | $18K | |
| 2019 | 244 | $26K | |
| 2020 | 188 | $23K | |
| 2021 | 327 | $30K | |
| 2022 | 1,374 | $60K | |
| 2023 | 2,645 | $113K | |
| 2024incomplete | 3,843 | $285K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 48% | 2,353 | 1,803 | $264K |
| 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 | 27% | 4,230 | 3,297 | $147K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 1,122 | 906 | $60K |
| 99223 | Prolong inpt eval add15 m | 5.6% | 365 | 265 | $31K |
| 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 | 4.4% | 360 | 274 | $24K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 42 | 38 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 34 | 32 | $5K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 27 | 25 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 86 | 70 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 154 | 126 | $4K |
| 99254 | <1% | 15 | 12 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 30 | 13 | $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 officialSLEHERIA, SANJEEV (PRESIDENT)