Dimarino-Kroop-Prieto Gastro-Intestinal Associates,pa
Dimarino-Kroop-Prieto Gastro-Intestinal Associates,pa was paid $120K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoDIMARINO-KROOP-PRIETO GASTRO-INTESTINAL ASSOCIATES,PA
WOODBURY, NJ 08096
WOODBURY, NJ 08096
33aNPI1962422295assigned 07/20/2006
33bProvider typeSpecialist
28Total paid$120K
24GClaims3,111
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#160 of 378
Median peer was paid$63K
This provider vs. median1.9×
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 | 326 | $19K | |
| 2019 | 218 | $13K | |
| 2020 | 586 | $18K | |
| 2021 | 769 | $28K | |
| 2022 | 740 | $23K | |
| 2023 | 362 | $17K | |
| 2024incomplete | 110 | $2K |
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 | 33% | 1,006 | 955 | $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 | 23% | 363 | 362 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 399 | 390 | $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 | 15% | 513 | 503 | $18K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 5.0% | 402 | 227 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.5% | 284 | 175 | $5K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 32 | 21 | $470.00 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $169.77 |
| 88342 | <1% | 20 | 13 | $53.24 | |
| 88313 | <1% | 20 | 13 | $52.00 | |
| 1124F | 0% | 60 | 57 | $0.00 |
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 officialDIMARINO, ANTHONY (PRESIDENT OF CORPORATION)