Clinic
Gastrointestinal Associates Endoscopy Center, LLC
Gastrointestinal Associates Endoscopy Center, LLC was paid $605K by Medicaid between Feb 2018 and Nov 2024, across 5 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 37% of everything it billed.
33Billing provider infoGASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC
WAUSAU, WI 54401
WAUSAU, WI 54401
33aNPI1962663559assigned 06/17/2008
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$605K
24GClaims3,756
24DCodes billed5
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Wisconsin
Rank by total paid#9 of 64
Median peer was paid$60K
This provider vs. median10×
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 | 295 | $41K | |
| 2019 | 504 | $67K | |
| 2020 | 588 | $101K | |
| 2021 | 757 | $126K | |
| 2022 | 577 | $101K | |
| 2023 | 636 | $106K | |
| 2024incomplete | 399 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 37% | 734 | 688 | $226K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 31% | 752 | 720 | $190K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 31% | 2,212 | 2,088 | $189K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 29 | 26 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 29 | 26 | $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 officialSCHLAIS, JAMES (MEDICAL DIRECTOR)