Physician
Digestive Health Specialists INC
Digestive Health Specialists INC was paid $619K by Medicaid between Jan 2018 and Apr 2021, across 17 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 21% of everything it billed.
33Billing provider infoDIGESTIVE HEALTH SPECIALISTS INC
LONG BEACH, CA 90813
LONG BEACH, CA 90813
33aNPI1225353493assigned 03/31/2010
33bProvider typeGastroenterology Physician
28Total paid$619K
24GClaims10,730
24DCodes billed17
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#72 of 363
Median peer was paid$55K
This provider vs. median11×
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 | 3,899 | $171K | |
| 2019 | 6,343 | $407K | |
| 2020 | 411 | $34K | |
| 2021 | 77 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 21% | 891 | 886 | $129K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 19% | 1,635 | 1,618 | $120K |
| 99152 | 9.1% | 2,010 | 1,985 | $57K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 8.6% | 363 | 361 | $54K |
| 99223 | Prolong inpt eval add15 m | 8.0% | 496 | 491 | $49K |
| 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 | 7.6% | 1,250 | 1,249 | $47K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.9% | 173 | 171 | $36K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.2% | 435 | 426 | $32K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.7% | 792 | 527 | $23K |
| 99205 | Prolong outpt/office vis | 3.6% | 485 | 485 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 436 | 434 | $18K |
| 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 | 2.8% | 912 | 907 | $17K |
5 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.8% | 683 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $1K |
| 43244 | <1% | 12 | $741.13 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 103 | $677.34 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 12 | $52.80 |
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 officialSHAH, ANOOP (PRESIDENT)