Digestive Disease Medicine of Central New York, LLP

Digestive Disease Medicine of Central New York, LLP was paid $787K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 58% of everything it billed.

33Billing provider infoDIGESTIVE DISEASE MEDICINE OF CENTRAL NEW YORK, LLP
UTICA, NY 13502

33aNPI1083785372assigned 11/10/2006

33bProvider typeMedical Specialty Clinic/Center

28Total paid$787K

24GClaims7,221

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Medical Specialty Clinic/Center providers in New York

Rank by total paid#16 of 86

Median peer was paid$113K

This provider vs. median7.0×

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	1,166	$118K
2019	972	$106K
2020	994	$91K
2021	1,082	$115K
2022	1,092	$138K
2023	1,410	$172K
2024incomplete	505	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
88305	Level IV - Surgical pathology, gross and microscopic examination	58%	2,924	2,895	$456K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	1,879	1,864	$124K
99223	Prolong inpt eval add15 m	7.4%	457	448	$58K
88342		5.5%	459	458	$43K
00731		3.4%	310	261	$27K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	2.7%	214	213	$21K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	158	158	$14K
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	1.5%	127	127	$12K
88313		1.2%	153	153	$10K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	332	310	$6K
00811		<1%	54	49	$5K
00812		<1%	58	39	$3K

4 more codes

99232	Hospital visit by a doctor, follow-up day	<1%	44	$3K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	28	$2K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	12	$2K
00813		<1%	12	$2K

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 officialSKLAR, BRADLEY (OWNER)