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
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
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 | 1,021 | $8K | |
| 2019 | 785 | $6K | |
| 2020 | 91 | $2K | |
| 2021 | 14 | $336.00 | |
| 2022 | 44 | $2K | |
| 2023 | 105 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)