Physician
Decatur Digestive Diseases PC
Decatur Digestive Diseases PC was paid $28K by Medicaid between Feb 2018 and Oct 2024, across 8 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 39% of everything it billed.
33Billing provider infoDECATUR DIGESTIVE DISEASES PC
DECATUR, AL 35602
DECATUR, AL 35602
33aNPI1245313519assigned 10/23/2006
33bProvider typeGastroenterology Physician
28Total paid$28K
24GClaims2,271
24DCodes billed8
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Alabama
Rank by total paid#14 of 27
Median peer was paid$28K
This provider vs. median1.0×
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 | 802 | $6K | |
| 2019 | 755 | $10K | |
| 2020 | 452 | $2K | |
| 2021 | 56 | $0.00 | |
| 2022 | 59 | $2K | |
| 2023 | 71 | $4K | |
| 2024incomplete | 76 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 39% | 206 | 151 | $11K |
| 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 | 28% | 129 | 117 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 133 | 116 | $3K |
| 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 | 10% | 60 | 55 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.4% | 196 | 56 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.3% | 77 | 24 | $2K |
| 99080 | 0% | 1,445 | 775 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 25 | 24 | $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 officialKANTAMNEMI, VENKATA (PRESIDENT)