Digestive Disease Associates, INC
Digestive Disease Associates, INC was paid $14.63M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 23% of everything it billed.
33Billing provider infoDIGESTIVE DISEASE ASSOCIATES, INC
SAN DIEGO, CA 92114
SAN DIEGO, CA 92114
33aNPI1073699971assigned 10/31/2006
33bProvider typeSpecialist
28Total paid$14.63M
24GClaims151,346
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#11 of 1,230
Median peer was paid$51K
This provider vs. median285×
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 | 15,297 | $1.53M | |
| 2019 | 21,828 | $1.90M | |
| 2020 | 22,934 | $1.77M | |
| 2021 | 24,811 | $2.25M | |
| 2022 | 23,560 | $2.34M | |
| 2023 | 24,448 | $2.48M | |
| 2024incomplete | 18,468 | $2.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 23% | 16,852 | 16,823 | $3.40M |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 16% | 8,585 | 8,517 | $2.31M |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 12% | 5,378 | 5,362 | $1.80M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 12% | 23,442 | 21,810 | $1.75M |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.2% | 5,015 | 4,994 | $1.35M |
| 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 | 6.4% | 13,168 | 13,133 | $941K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 15,759 | 15,705 | $930K |
| 88312 | 4.5% | 13,667 | 13,574 | $652K | |
| 88313 | 4.4% | 12,259 | 12,182 | $637K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 23,054 | 22,844 | $578K |
| 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 | 1.4% | 5,781 | 5,731 | $210K |
| 91200 | <1% | 1,214 | 1,211 | $35K |
7 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 677 | $12K |
| 88342 | <1% | 107 | $5K | |
| 46221 | <1% | 14 | $996.52 | |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $920.35 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 17 | $625.18 |
| 1111F | <1% | 6,327 | $276.84 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $202.82 |
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 officialDESTA, TADDESEE (OWNER)