Digestive Disease Consultants, PC
Digestive Disease Consultants, PC was paid $118K by Medicaid between Jan 2019 and Nov 2024, across 4 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 50% of everything it billed.
33Billing provider infoDIGESTIVE DISEASE CONSULTANTS, PC
PONTIAC, MI 48341
PONTIAC, MI 48341
33aNPI1124179924assigned 01/16/2007
33bProvider typeSpecialist
28Total paid$118K
24GClaims2,175
24DCodes billed4
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#83 of 181
Median peer was paid$94K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2019 | 222 | $10K | |
| 2020 | 397 | $18K | |
| 2021 | 398 | $21K | |
| 2022 | 486 | $24K | |
| 2023 | 508 | $30K | |
| 2024incomplete | 164 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 50% | 889 | 847 | $59K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 32% | 1,063 | 501 | $38K |
| 99223 | Prolong inpt eval add15 m | 17% | 209 | 197 | $20K |
| 99220 | 1.1% | 14 | 13 | $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 officialMETHENY, KIMBERLY (OFFICE MANAGER)