Medicaid Provider Spending

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

DIGESTIVE HEALTH SPECIALISTS, P.C.

NPI: 1205895257 · CHELMSFORD, MA 01824 · Gastroenterology Physician · NPI assigned 03/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official OLIVER, ALAN controls 20+ related entities in our dataset. Read more

$143K
Total Medicaid Paid
3,189
Total Claims
3,117
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOLIVER, ALAN (CEO)
NPI Enumeration Date03/20/2006

Related Entities

Other providers sharing the same authorized official: OLIVER, ALAN

ProviderCityStateTotal Paid
GCGA PHYSICIANS INC. CINCINNATI OH $2.01M
GASTRO HEALTH LLC MIAMI FL $1.00M
DIGESTIVE DISEASE ASSOCIATES, LLC BALTIMORE MD $683K
AMERICAN ANESTHESIOLOGY SERVICES OF FLORIDA, INC. MELVILLE NY $588K
CHESAPEAKE DIGESTIVE ASSOCIATES, PC ANNAPOLIS MD $279K
GASTRO HEALTH, LLC BOCA RATON FL $191K
GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC FAIRFAX VA $166K
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA PENSACOLA FL $146K
GASTROENTEROLOGY ASSOCIATES OF NORTH-CENTRAL ALABAMA INC BIRMINGHAM AL $146K
PUGET SOUND GASTROENTEROLOGY, PLLC EDMONDS WA $115K
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA PENSACOLA FL $95K
GASTRO HEALTH, LLC WELLINGTON FL $85K
GASTRO HEALTH, LLC PEMBROKE PINES FL $82K
PUGET SOUND GASTROENTEROLOGY, PLLC EDMONDS WA $68K
PUGET SOUND GASTROENTEROLOGY, PLLC SEATTLE WA $64K
GREATER BOSTON GASTROENTEROLOGY FRAMINGHAM MA $59K
PUGET SOUND GASTROENTEROLOGY, PLLC KIRKLAND WA $36K
GASTRO HEALTH, LLC PLANTATION FL $36K
GASTRO HEALTH, LLC MIAMI FL $20K
GASTROENTEROLOGY ASSOCIATES OF NORTH-CENTRAL ALABAMA INC BIRMINGHAM AL $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 799 $31K
2019 435 $15K
2020 267 $11K
2021 442 $16K
2022 477 $23K
2023 339 $21K
2024 430 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 999 987 $44K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 289 287 $22K
99222 Initial hospital care, per day, moderate complexity 300 289 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 444 439 $14K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 94 94 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 164 148 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 58 58 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 88 88 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 51 51 $4K
99223 Prolong inpt eval add15 m 63 62 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 320 320 $2K
99221 75 74 $2K
99232 Subsequent hospital care, per day, moderate complexity 68 49 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 98 98 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 21 17 $297.43
82270 57 56 $95.70