Digestive Disease Consultants of Las Cruces LLC
Digestive Disease Consultants of Las Cruces LLC was paid $5.97M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 28% of everything it billed.
33Billing provider infoDIGESTIVE DISEASE CONSULTANTS OF LAS CRUCES LLC
LAS CRUCES, NM 88011
LAS CRUCES, NM 88011
33aNPI1235184326assigned 05/24/2006
33bProvider typeSpecialist
28Total paid$5.97M
24GClaims65,075
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New Mexico
Rank by total paid#7 of 53
Median peer was paid$279K
This provider vs. median21×
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 | 11,535 | $978K | |
| 2019 | 11,825 | $1000K | |
| 2020 | 8,309 | $682K | |
| 2021 | 8,744 | $712K | |
| 2022 | 8,285 | $743K | |
| 2023 | 9,027 | $992K | |
| 2024incomplete | 7,350 | $863K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 28% | 8,586 | 8,331 | $1.69M |
| 99243 | 12% | 5,358 | 5,345 | $724K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 11% | 2,088 | 1,996 | $653K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.8% | 2,283 | 2,197 | $584K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 8.4% | 9,477 | 9,125 | $500K |
| 88313 | 6.9% | 4,538 | 4,447 | $413K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 6,403 | 6,244 | $365K |
| 88312 | 4.7% | 3,953 | 3,877 | $282K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.5% | 1,094 | 1,091 | $211K |
| 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 | 3.3% | 2,696 | 2,617 | $200K |
| 99442 | 1.5% | 1,210 | 1,164 | $88K | |
| 99253 | <1% | 501 | 488 | $52K |
14 more codes
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | <1% | 164 | $38K |
| 99443 | <1% | 381 | $36K | |
| 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% | 13,879 | $35K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 105 | $25K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 971 | $18K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 626 | $14K |
| 43248 | <1% | 165 | $14K | |
| 43235 | <1% | 73 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 207 | $8K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 92 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 38 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 136 | $2K |
| 99242 | <1% | 12 | $1K | |
| 91200 | <1% | 39 | $476.13 |
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 officialNATTAKOM, THOMAS (CEO)