Palmetto Gastroenterology & Hepatology, PA
Palmetto Gastroenterology & Hepatology, PA was paid $54K by Medicaid between Jan 2018 and Jun 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoPALMETTO GASTROENTEROLOGY & HEPATOLOGY, PA
AIKEN, SC 29801
AIKEN, SC 29801
33aNPI1972786846assigned 12/13/2007
33bProvider typeSpecialist
28Total paid$54K
24GClaims1,703
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#42 of 89
Median peer was paid$41K
This provider vs. median1.3×
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 | 576 | $20K | |
| 2019 | 192 | $11K | |
| 2020 | 173 | $6K | |
| 2021 | 261 | $7K | |
| 2022 | 382 | $8K | |
| 2023 | 119 | $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 | 50% | 808 | 779 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 761 | 732 | $19K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.0% | 27 | 24 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.7% | 41 | 40 | $2K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.7% | 38 | 38 | $1K |
| 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 | 1.6% | 28 | 26 | $861.17 |
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 officialWARAICH, AFSAR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Center for Colon and Digestive Diseases LLC | Aiken, SC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.