Physician
Valley Gastroenterology & Endoscopy
Valley Gastroenterology & Endoscopy was paid $2.11M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 88312, — 33% of everything it billed.
33Billing provider infoVALLEY GASTROENTEROLOGY & ENDOSCOPY
BELLAIRE, OH 43906
BELLAIRE, OH 43906
33aNPI1982974721assigned 01/11/2012
33bProvider typeGastroenterology Physician
28Total paid$2.11M
24GClaims47,190
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Ohio
Rank by total paid#6 of 59
Median peer was paid$45K
This provider vs. median47×
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 | 8,528 | $357K | |
| 2019 | 7,895 | $297K | |
| 2020 | 8,331 | $449K | |
| 2021 | 8,559 | $381K | |
| 2022 | 6,922 | $246K | |
| 2023 | 4,506 | $223K | |
| 2024incomplete | 2,449 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88312 | 33% | 8,456 | 6,952 | $699K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 15% | 8,554 | 7,062 | $324K |
| 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 | 11% | 5,179 | 4,773 | $232K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 1,717 | 1,574 | $222K |
| 88313 | 9.2% | 6,346 | 5,572 | $193K | |
| 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 | 6.4% | 1,882 | 1,739 | $135K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 3,883 | 3,618 | $126K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 2,687 | 1,009 | $69K |
| 99223 | Prolong inpt eval add15 m | 2.3% | 820 | 714 | $48K |
| 45390 | <1% | 87 | 83 | $17K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 121 | 112 | $16K |
| 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% | 184 | 169 | $8K |
13 more codes
| 99490 | Ccm add 20min | <1% | 1,215 | $4K |
| 43235 | <1% | 52 | $4K | |
| 99439 | <1% | 799 | $4K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 13 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | $2K |
| 3017F | <1% | 1,791 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,813 | $2K |
| 99491 | Ccm add 20min | <1% | 59 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 121 | $1K |
| 4004F | <1% | 149 | $848.77 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $451.53 |
| 1036F | <1% | 1,185 | $351.90 | |
| 99441 | <1% | 52 | $319.10 |
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 officialRATNAKAR, NITESH (PRESIDENT/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ve Anesthesiology LLC | Saint Clairsville, OH | $1.46M |
| Valley Endoscopy Center, INC | Saint Clairsville, OH | $1.07M |
| West Virginia Gastroenterology & Endoscopy | Elkins, WV | $1.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.