Physician
Gastrocare of Southwest Ohio, LLC
Gastrocare of Southwest Ohio, LLC was paid $434K by Medicaid between Apr 2020 and Oct 2024, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 22% of everything it billed.
33Billing provider infoGASTROCARE OF SOUTHWEST OHIO, LLC
HAMILTON, OH 45013
HAMILTON, OH 45013
33aNPI1962044271assigned 10/09/2019
33bProvider typeGastroenterology Physician
28Total paid$434K
24GClaims10,682
24DCodes billed13
24AFirst – last monthApr 2020 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Ohio
Rank by total paid#17 of 59
Median peer was paid$45K
This provider vs. median9.6×
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 | |
|---|---|---|---|
| 2020 | 1,713 | $53K | |
| 2021 | 2,880 | $108K | |
| 2022 | 3,051 | $121K | |
| 2023 | 2,071 | $88K | |
| 2024incomplete | 967 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 4,551 | 1,409 | $94K |
| 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 | 17% | 1,171 | 1,067 | $74K |
| 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 | 16% | 1,670 | 1,526 | $71K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 931 | 856 | $65K |
| 99223 | Prolong inpt eval add15 m | 12% | 840 | 787 | $52K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 5.9% | 177 | 162 | $26K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.6% | 617 | 557 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 308 | 272 | $9K |
| 43248 | 1.7% | 77 | 70 | $8K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 144 | 96 | $5K |
| 43249 | <1% | 56 | 51 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 116 | 66 | $2K |
1 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $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 officialBEARELLY, DILIP (OWNER)