Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC

NPI: 1013429968 · HOUSTON, TX 77098 · Gastroenterology Physician · NPI assigned 11/01/2017

$69K
Total Medicaid Paid
5,746
Total Claims
2,723
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSUMMERALL, STEPHANIE (SVP, PAYER RELATIONS)
NPI Enumeration Date11/01/2017

Related Entities

Other providers sharing the same authorized official: SUMMERALL, STEPHANIE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 985 $3K
2019 1,017 $4K
2020 848 $8K
2021 1,506 $28K
2022 1,128 $21K
2023 186 $5K
2024 76 $802.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 4,105 1,638 $39K
99233 Prolong inpt eval add15 m 739 242 $16K
99222 Initial hospital care, per day, moderate complexity 484 450 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 42 36 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 82 80 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 182 174 $2K
99254 14 12 $1K
99223 Prolong inpt eval add15 m 80 77 $749.35
99231 Subsequent hospital care, per day, straightforward or low complexity 18 14 $40.17