Southwestern Gastroenterological Associates, P.C.

Southwestern Gastroenterological Associates, P.C. was paid $37K by Medicaid between Jan 2018 and Dec 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoSOUTHWESTERN GASTROENTEROLOGICAL ASSOCIATES, P.C.
NORWOOD, MA 02062

33aNPI1992816839assigned 08/31/2006

33bProvider typeInternal Medicine Physician

28Total paid$37K

24GClaims1,397

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#382 of 1,270

Median peer was paid$8K

This provider vs. median4.4×

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	477	$13K
2019	605	$17K
2020	315	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	56%	723	706	$20K
99221		24%	218	209	$9K
99231	Subsequent hospital care, per day, straightforward or low complexity	12%	258	100	$4K
99442		4.5%	181	152	$2K
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	3.2%	17	16	$1K

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 officialPERROTTO, JOSEPH (PRESIDENT)