Physician
Gastroenterology Health Partners, PLLC
Gastroenterology Health Partners, PLLC was paid $3.12M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 27% of everything it billed.
33Billing provider infoGASTROENTEROLOGY HEALTH PARTNERS, PLLC
LOUSIVILLE, KY 40218
LOUSIVILLE, KY 40218
33aNPI1982963872assigned 05/11/2012
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$3.12M
24GClaims65,260
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Kentucky
Rank by total paid#3 of 27
Median peer was paid$139K
This provider vs. median22×
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 | 9,503 | $229K | |
| 2019 | 9,446 | $443K | |
| 2020 | 8,528 | $419K | |
| 2021 | 11,010 | $598K | |
| 2022 | 10,367 | $562K | |
| 2023 | 10,798 | $541K | |
| 2024incomplete | 5,608 | $327K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 27% | 8,914 | 7,970 | $835K |
| 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 | 22% | 17,248 | 15,000 | $695K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 11,785 | 10,353 | $359K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 5,163 | 4,564 | $355K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.8% | 8,504 | 4,437 | $211K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.6% | 1,260 | 1,090 | $145K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.9% | 2,510 | 2,200 | $121K |
| 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 | 3.3% | 1,353 | 1,195 | $104K |
| 43235 | 1.8% | 1,229 | 1,100 | $57K | |
| 88342 | 1.6% | 1,200 | 1,078 | $50K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 968 | 870 | $36K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 478 | 423 | $34K |
11 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.0% | 928 | $32K |
| 43450 | <1% | 1,280 | $25K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 447 | $23K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,641 | $18K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 67 | $11K |
| 99221 | <1% | 72 | $2K | |
| 87507 | <1% | 14 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 91 | $1K |
| 99442 | <1% | 54 | $666.50 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 12 | $256.55 |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 42 | $228.82 |
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 officialMATERNA, KRISTINA (DIRECTOR, CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Dayton Gastroenterology LLC | Dayton, OH | $3.41M |
| Transsouth Health Care PLLC | Jackson, TN | $1.37M |
| Gastroenterology Center of the Midsouth PLLC | Germantown, TN | $886K |
| Endoscopy Center of North Mississippi,llc | Oxford, MS | $77K |
| Gastroenterology Associates Va, LLC | Gainesville, VA | $42K |
| DHS Anesthesia, LLC | Tupelo, MS | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.