Physician
Charleston Gastroenterology Associates
Charleston Gastroenterology Associates was paid $548K by Medicaid between Jan 2018 and Aug 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoCHARLESTON GASTROENTEROLOGY ASSOCIATES
SOUTH CHARLESTON, WV 25309
SOUTH CHARLESTON, WV 25309
33aNPI1952483802assigned 10/19/2006
33bProvider typeGastroenterology Physician
28Total paid$548K
24GClaims10,892
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Gastroenterology Physician providers in West Virginia
Rank by total paid#4 of 15
Median peer was paid$99K
This provider vs. median5.5×
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 | 1,805 | $106K | |
| 2019 | 1,059 | $45K | |
| 2020 | 1,893 | $76K | |
| 2021 | 1,932 | $76K | |
| 2022 | 2,099 | $110K | |
| 2023 | 1,526 | $94K | |
| 2024incomplete | 578 | $40K |
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 | 31% | 3,513 | 3,189 | $172K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 1,377 | 1,243 | $91K |
| 99222 | Initial hospital care, per day, moderate complexity | 16% | 1,536 | 1,381 | $89K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 2,161 | 1,120 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 1,071 | 1,007 | $47K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.0% | 202 | 185 | $28K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.9% | 459 | 433 | $16K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.1% | 117 | 105 | $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 | 1.3% | 81 | 72 | $7K |
| 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% | 151 | 126 | $5K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 51 | 42 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | 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 officialSTAPLETON, JEREMY (PARTNER)