Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Mississippi for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Mississippi only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Mississippi (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gastrointestinal Associates, P.A. (NPI 1093765604)

Gastrointestinal Associates, P.A. is a gastroenterology physician provider located in Flowood, Mississippi. This profile covers 0 Medicare and 61 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Gastrointestinal Associates, P.A.
Address	2510 Lakeland Dr
City	Flowood
State	MS
ZIP	39232
Taxonomy	Gastroenterology Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	17,300	$110	$1.8M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	7,360	$100	$750.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12,280	$50	$577.3K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	6,770	$50	$345.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	8,940	$40	$339.7K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	2,430	$120	$298.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	3,110	$80	$254.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,570	$100	$153.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,800	$20	$60.8K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	5,520	$10	$44.2K

Showing 1–10 of 61

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

Claims Volume vs. Mississippi Distribution

Gastrointestinal Associates, P.A. — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	26	30	5,050	$120	$762K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	91	110	1,250	$110	$311.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	263	1,910	930	$60	$278.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2	70	200	$180	$200.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	102	1,670	720	$50	$196.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	5	30	260	$110	$191.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	6	30	420	$210	$165.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	3	80	1,700	$40	$164.2K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	13	30	390	$70	$128.7K
87507	The lab analyst performs a test to detect 12 to 25 types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that affects the gastrointestinal…	7	10	60	$260	$103.6K

Showing 1–10 of 61

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem East LLC	MS	Community/Behavioral Health Agency	$0	$97M
Love And Faith Personal Care And Respite Services	MS	Home Health Agency	$0	$24.3M
M-d Medical Services, Inc.	MS	Parenteral & Enteral Nutrition Supplies (DME)	$0	$18M
River Oaks Hospital LLC	MS	General Acute Care Hospital	$0	$16.6M
National Seating & Mobility, Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$12.5M
Madison Physician Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$12.3M	$30.3K
Mobility Medical Inc	MS	Oxygen Equipment & Supplies (DME)	$0	$10.4M
Prescribed Pediatric Extended Care, Inc	MS	Medically Fragile Infants and Children Day Care	$0	$9.5M
Women's Health Associates, PLLC	MS	Obstetrics & Gynecology Physician	$0	$9.4M
Rem East LLC	MS	Developmentally Disabled Services Day Training Agency	$0	$7.8M

Gastrointestinal Associates, P.A. — Billing Profile & Reimbursement Data

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Gastrointestinal Associates, P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Milner	MS	Gastroenterology Physician	$428K	$0
John Runnels	MS	Gastroenterology Physician	$422.1K	$0
Stewart Boyd	MS	Gastroenterology Physician	$413.9K	$0
Reed Hogan	MS	Gastroenterology Physician	$399.8K	$0
Jane-claire Williams	MS	Gastroenterology Physician	$394.4K	$0
Michelle Petro	MS	Gastroenterology Physician	$390.8K	$0
Ollie Jones	MS	Gastroenterology Physician	$367.3K	$0
Keith Brown	MS	Anatomic Pathology & Clinical Pathology Physician	$332.1K	$0
Ernest Weeks	MS	Gastroenterology Physician	$315.9K	$0
Jeffrey Mccrary	MS	Gastroenterology Physician	$313.1K	$0