Physician
Carolina Digestive Health Associates, PA
Carolina Digestive Health Associates, PA was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoCAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
33aNPI1124052444assigned 07/11/2006
33bProvider typeGastroenterology Physician
28Total paid$1.09M
24GClaims28,782
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in North Carolina
Rank by total paid#3 of 64
Median peer was paid$44K
This provider vs. median25×
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 | 3,808 | $99K | |
| 2019 | 2,419 | $93K | |
| 2020 | 2,705 | $105K | |
| 2021 | 4,604 | $154K | |
| 2022 | 4,102 | $143K | |
| 2023 | 5,365 | $214K | |
| 2024incomplete | 5,779 | $278K |
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 | 35% | 10,863 | 7,069 | $376K |
| 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 | 21% | 3,272 | 2,079 | $225K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 16% | 1,969 | 1,308 | $176K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 3,159 | 2,143 | $114K |
| 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% | 3,739 | 2,723 | $86K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 901 | 757 | $46K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 1,106 | 445 | $24K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.6% | 202 | 134 | $17K |
| 99490 | Ccm add 20min | <1% | 1,564 | 941 | $6K |
| 99439 | <1% | 1,413 | 837 | $6K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | 12 | $2K |
| 88342 | <1% | 80 | 54 | $2K |
8 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 105 | $1K |
| 99454 | <1% | 181 | $1K | |
| 43248 | <1% | 32 | $864.44 | |
| 43249 | <1% | 18 | $774.39 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $586.70 |
| 99221 | <1% | 19 | $536.46 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 97 | $476.81 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | $177.89 |
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 officialROTHROCK, JULIE (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Carolina Digestive Health Associates, PA | Charlotte, NC | $170K |
| Endoscopy Center Monroe LLC | Monroe, NC | $125K |
| Endoscopy Center - University, LLC | Charlotte, NC | $100K |
| Endoscopy Center - Huntersville, LLC | Huntersville, NC | $30K |
| Endoscopy Center -Pineville LLC | Charlotte, NC | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.