Gastroenterology Associates of Fredericksburg, P.C.

Gastroenterology Associates of Fredericksburg, P.C. was paid $455K by Medicaid between Feb 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoGASTROENTEROLOGY ASSOCIATES OF FREDERICKSBURG, P.C.
FREDERICKSBURG, VA 22401

33aNPI1952455735assigned 01/22/2007

33bProvider typeGastroenterology Physician

28Total paid$455K

24GClaims7,298

24DCodes billed11

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Virginia

Rank by total paid#7 of 40

Median peer was paid$68K

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	238	$6K
2019	579	$26K
2020	919	$54K
2021	1,289	$78K
2022	1,568	$101K
2023	1,814	$126K
2024incomplete	891	$64K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	58%	4,046	3,708	$263K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	15%	1,160	1,011	$70K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.5%	966	856	$39K
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	5.2%	254	236	$23K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.3%	245	235	$15K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.9%	214	113	$13K
99223	Prolong inpt eval add15 m	2.7%	142	138	$12K
45380	Colonoscopy, flexible; with biopsy, single or multiple	1.9%	86	70	$9K
99222	Initial hospital care, per day, moderate complexity	1.2%	85	77	$5K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	87	54	$4K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	13	12	$2K

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 officialDETRANE, FRANK (PARTNER)