Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Digestive Disease Specialists of N.E. Alabama, P.C.

Digestive Disease Specialists of N.E. Alabama, P.C. was paid $21K by Medicaid between Jan 2018 and Dec 2023, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 44% of everything it billed.

33Billing provider infoDIGESTIVE DISEASE SPECIALISTS OF N.E. ALABAMA, P.C.
GADSDEN, AL 35903
33aNPI1174668651assigned 02/21/2007
33bProvider typeSpecialist
28Total paid$21K
24GClaims2,060
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Specialist providers in Alabama

Rank by total paid#96 of 162
Median peer was paid$49K
This provider vs. median0.4×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
20181,021$8K
2019785$6K
202091$2K
202114$336.00
202244$2K
2023105$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 44% 92 85 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41% 459 438 $9K
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 6.4% 54 49 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.6% 13 12 $752.70
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.1% 19 12 $645.03
99231 Subsequent hospital care, per day, straightforward or low complexity 1.5% 33 15 $312.00
99222 Initial hospital care, per day, moderate complexity <1% 40 40 $162.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 503 489 $0.00
G9710 Patient was provided hospice services any time during the measurement period 0% 115 111 $0.00
1036F 0% 210 205 $0.00
G9691 Patient had hospice services any time during the measurement period 0% 140 135 $0.00
1111F 0% 364 355 $0.00
1 more codes
3017F 0% 18 $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 officialTUMMALA, VIJAYAPRASAD (PARTNER)