Digestive Health Physicians, P.C.

Digestive Health Physicians, P.C. was paid $49K by Medicaid between Mar 2018 and Sep 2022, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 70% of everything it billed.

33Billing provider infoDIGESTIVE HEALTH PHYSICIANS, P.C.
CHEEKTOWAGA, NY 14225

33aNPI1255323762assigned 08/19/2005

33bProvider typeGastroenterology Physician

28Total paid$49K

24GClaims1,179

24DCodes billed5

24AFirst – last monthMar 2018 – Sep 2022

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#219 of 656

Median peer was paid$12K

This provider vs. median4.1×

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	347	$19K
2019	313	$15K
2020	241	$6K
2021	167	$7K
2022	111	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	70%	342	342	$35K
99152		9.4%	584	583	$5K
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)	9.0%	171	170	$4K
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	6.3%	28	28	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.1%	54	52	$3K

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 officialLUTHER, RAMESH (PRESIDENT)