Physician
Essex Digestive Healthcare PC
Essex Digestive Healthcare PC was paid $150K by Medicaid between Aug 2022 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoESSEX DIGESTIVE HEALTHCARE PC
MAPLEWOOD, NJ 07040
MAPLEWOOD, NJ 07040
33aNPI1033889589assigned 09/16/2021
33bProvider typeGastroenterology Physician
28Total paid$150K
24GClaims5,418
24DCodes billed10
24AFirst – last monthAug 2022 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in New Jersey
Rank by total paid#39 of 150
Median peer was paid$27K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2022 | 714 | $10K | |
| 2023 | 2,890 | $82K | |
| 2024incomplete | 1,814 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 18% | 743 | 681 | $27K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 16% | 202 | 192 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 335 | 324 | $20K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 1,873 | 669 | $19K |
| 99223 | Prolong inpt eval add15 m | 11% | 730 | 675 | $17K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 11% | 72 | 70 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 437 | 409 | $12K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.3% | 919 | 390 | $9K |
| 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 | 2.7% | 95 | 92 | $4K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | 12 | $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 officialSHAH, AMOL (OWNER)