Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAPITAL DIGESTIVE CARE LLC

NPI: 1164683181 · SILVER SPRING, MD 20901 · Gastroenterology Physician · NPI assigned 06/23/2008

$2.78M
Total Medicaid Paid
64,568
Total Claims
55,490
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHORT, TIMOTHY (CEO)
NPI Enumeration Date06/23/2008

Related Entities

Other providers sharing the same authorized official: SHORT, TIMOTHY

ProviderCityStateTotal Paid
CAPITAL DIGESTIVE CARE ,LLC SUFFOLK VA $161K
CAPITAL DIGESTIVE CARE LLC NORFOLK VA $133K
CAPITAL DIGESTIVE CARE ,LLC WILLIAMSBURG VA $85K
CAPITAL DIGESTIVE CARE, LLC SILVER SPRING MD $33K
CAPITAL DIGESTIVE CARE, LLC VIRGINIA BEACH VA $31K
CAPITAL DIGESTIVE CARE LLC CHESAPEAKE VA $10K
CAPITAL DIGESTIVE CARE, LLC ROCKVILLE MD $3K
CAPITAL DIGESTIVE CARE, LLC LAUREL MD $935.67

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,410 $666K
2019 5,098 $396K
2020 5,115 $169K
2021 10,649 $417K
2022 12,415 $433K
2023 16,009 $427K
2024 8,872 $277K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 10,058 8,385 $936K
88342 5,015 4,071 $280K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,727 5,177 $251K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 3,345 2,831 $244K
88313 3,711 3,125 $194K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,861 2,630 $167K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,652 4,209 $164K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,816 2,515 $113K
88341 2,651 2,253 $107K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,094 1,902 $102K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,331 2,077 $66K
88344 772 577 $28K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 947 826 $18K
83013 505 458 $17K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,740 1,450 $15K
87507 148 121 $10K
36415 Collection of venous blood by venipuncture 3,984 3,427 $7K
80053 Comprehensive metabolic panel 1,531 1,320 $6K
0202U Oncology (prostate), multianalyte, gene expression profiling 33 31 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,555 1,309 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 274 145 $5K
83993 446 343 $4K
82728 760 631 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 68 54 $3K
86364 313 262 $3K
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)). 144 140 $3K
99439 195 188 $3K
83550 824 701 $3K
82784 396 322 $2K
83540 830 702 $2K
87340 404 357 $2K
99454 68 53 $2K
80076 477 399 $2K
86704 315 282 $1K
86140 609 499 $1K
86381 87 83 $1K
86317 152 131 $1K
99232 Subsequent hospital care, per day, moderate complexity 23 12 $917.33
86803 191 165 $914.97
76981 13 12 $840.64
99221 18 16 $696.74
99490 Ccm add 20min 402 388 $613.84
86706 220 193 $552.26
86708 82 71 $392.57
84443 Thyroid stimulating hormone (TSH) 85 58 $384.64
82105 86 68 $364.35
86258 30 25 $321.75
82607 52 41 $254.04
85652 138 101 $175.48
82390 61 55 $170.53
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $145.30
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 12 $64.95
83690 32 27 $57.13
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 14 12 $1.29
J2704 Injection, propofol, 10 mg 14 12 $0.14
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 80 74 $0.00
1036F 81 75 $0.00
3017F 81 75 $0.00