Physician
Capital Digestive Care LLC
Capital Digestive Care LLC was paid $2.78M by Medicaid between Jan 2018 and Nov 2024, across 58 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 34% of everything it billed.
33Billing provider infoCAPITAL DIGESTIVE CARE LLC
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
33aNPI1164683181assigned 06/23/2008
33bProvider typeGastroenterology Physician
28Total paid$2.78M
24GClaims64,568
24DCodes billed58
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Maryland
Rank by total paid#2 of 55
Median peer was paid$64K
This provider vs. median43×
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 | 6,410 | $666K | |
| 2019 | 5,098 | $396K | |
| 2020 | 5,115 | $169K | |
| 2021 | 10,649 | $417K | |
| 2022 | 12,415 | $433K | |
| 2023 | 16,009 | $427K | |
| 2024incomplete | 8,872 | $277K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 34% | 10,058 | 8,385 | $936K |
| 88342 | 10% | 5,015 | 4,071 | $280K | |
| 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 | 9.0% | 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 | 8.8% | 3,345 | 2,831 | $244K |
| 88313 | 7.0% | 3,711 | 3,125 | $194K | |
| 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 | 6.0% | 2,861 | 2,630 | $167K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 4,652 | 4,209 | $164K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.1% | 2,816 | 2,515 | $113K |
| 88341 | 3.8% | 2,651 | 2,253 | $107K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 2,094 | 1,902 | $102K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.4% | 2,331 | 2,077 | $66K |
| 88344 | 1.0% | 772 | 577 | $28K |
46 more codes
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 947 | $18K |
| 83013 | <1% | 505 | $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% | 1,740 | $15K |
| 87507 | <1% | 148 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,984 | $7K |
| 80053 | Comprehensive metabolic panel | <1% | 1,531 | $6K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 33 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,555 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 274 | $5K |
| 83993 | <1% | 446 | $4K | |
| 82728 | <1% | 760 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 68 | $3K |
| 86364 | <1% | 313 | $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)). | <1% | 144 | $3K |
| 99439 | <1% | 195 | $3K | |
| 83550 | <1% | 824 | $3K | |
| 82784 | <1% | 396 | $2K | |
| 83540 | <1% | 830 | $2K | |
| 87340 | <1% | 404 | $2K | |
| 99454 | <1% | 68 | $2K | |
| 80076 | <1% | 477 | $2K | |
| 86704 | <1% | 315 | $1K | |
| 86140 | <1% | 609 | $1K | |
| 86381 | <1% | 87 | $1K | |
| 86317 | <1% | 152 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 23 | $917.33 |
| 86803 | <1% | 191 | $914.97 | |
| 76981 | <1% | 13 | $840.64 | |
| 99221 | <1% | 18 | $696.74 | |
| 99490 | Ccm add 20min | <1% | 402 | $613.84 |
| 86706 | <1% | 220 | $552.26 | |
| 86708 | <1% | 82 | $392.57 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 85 | $384.64 |
| 82105 | <1% | 86 | $364.35 | |
| 86258 | <1% | 30 | $321.75 | |
| 82607 | <1% | 52 | $254.04 | |
| 85652 | <1% | 138 | $175.48 | |
| 82390 | <1% | 61 | $170.53 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 12 | $145.30 |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 15 | $64.95 |
| 83690 | <1% | 32 | $57.13 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 14 | $1.29 |
| J2704 | Injection, propofol, 10 mg | <1% | 14 | $0.14 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 80 | $0.00 |
| 1036F | 0% | 81 | $0.00 | |
| 3017F | 0% | 81 | $0.00 |
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 officialSHORT, TIMOTHY (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.