Medicaid Provider Spending

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

DIGESTIVE HEALTH SPECIALISTS INC

NPI: 1225353493 · LONG BEACH, CA 90813 · Gastroenterology Physician · NPI assigned 03/31/2010

$619K
Total Medicaid Paid
10,730
Total Claims
10,055
Beneficiaries
17
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialSHAH, ANOOP (PRESIDENT)
NPI Enumeration Date03/31/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,899 $171K
2019 6,343 $407K
2020 411 $34K
2021 77 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45380 Colonoscopy, flexible; with biopsy, single or multiple 891 886 $129K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,635 1,618 $120K
99152 2,010 1,985 $57K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 363 361 $54K
99223 Prolong inpt eval add15 m 496 491 $49K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,250 1,249 $47K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 173 171 $36K
99222 Initial hospital care, per day, moderate complexity 435 426 $32K
99233 Prolong inpt eval add15 m 792 527 $23K
99205 Prolong outpt/office vis 485 485 $22K
99215 Prolong outpt/office vis 436 434 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 912 907 $17K
99232 Subsequent hospital care, per day, moderate complexity 683 348 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 42 42 $1K
43244 12 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) 103 101 $677.34
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $52.80