Physician
Texas Digestive Disease Consultants, PLLC
Texas Digestive Disease Consultants, PLLC was paid $69K by Medicaid between Jan 2018 and May 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 57% of everything it billed.
33Billing provider infoTEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
HOUSTON, TX 77098
HOUSTON, TX 77098
33aNPI1013429968assigned 11/01/2017
33bProvider typeGastroenterology Physician
28Total paid$69K
24GClaims5,746
24DCodes billed9
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Gastroenterology Physician providers in Texas
Rank by total paid#19 of 91
Median peer was paid$8K
This provider vs. median9.0×
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 | 985 | $3K | |
| 2019 | 1,017 | $4K | |
| 2020 | 848 | $8K | |
| 2021 | 1,506 | $28K | |
| 2022 | 1,128 | $21K | |
| 2023 | 186 | $5K | |
| 2024incomplete | 76 | $802.16 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 57% | 4,105 | 1,638 | $39K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 23% | 739 | 242 | $16K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.0% | 484 | 450 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.1% | 42 | 36 | $3K |
| 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 | 3.6% | 82 | 80 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 182 | 174 | $2K |
| 99254 | 1.8% | 14 | 12 | $1K | |
| 99223 | Prolong inpt eval add15 m | 1.1% | 80 | 77 | $749.35 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 18 | 14 | $40.17 |
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 officialSUMMERALL, STEPHANIE (SVP, PAYER RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Bedford, TX | $62K |
| Texas Digestive Disease Consultants, PLLC | Southlake, TX | $7K |
| Texas Digestive Disease Consultants, PLLC | Irving, TX | $518.52 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.