Physician
Digestive Diseases Associates
Digestive Diseases Associates was paid $31K by Medicaid between Jul 2020 and Oct 2024, across 19 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 83% of everything it billed.
33Billing provider infoDIGESTIVE DISEASES ASSOCIATES
DECATUR, AL 35601
DECATUR, AL 35601
33aNPI1306465240assigned 04/10/2020
33bProvider typeGastroenterology Physician
28Total paid$31K
24GClaims3,746
24DCodes billed19
24AFirst – last monthJul 2020 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Alabama
Rank by total paid#13 of 27
Median peer was paid$28K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 414 | $3K | |
| 2021 | 1,011 | $8K | |
| 2022 | 1,264 | $10K | |
| 2023 | 431 | $5K | |
| 2024incomplete | 626 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 83% | 298 | 277 | $26K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 6.8% | 41 | 40 | $2K |
| 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 | 3.4% | 38 | 37 | $1K |
| 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 | 3.0% | 16 | 13 | $923.00 |
| 43450 | 1.6% | 14 | 14 | $497.84 | |
| 74022 | 1.3% | 16 | 15 | $407.00 | |
| 74018 | <1% | 16 | 13 | $122.29 | |
| 85610 | <1% | 13 | 12 | $40.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | 24 | $36.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 1,287 | 970 | $0.00 |
| G9279 | Pneumococcal screening performed and documentation of vaccination received prior to discharge | 0% | 13 | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 711 | 602 | $0.00 |
7 more codes
| G9968 | Patient was referred to another clinician or specialist during the measurement period | 0% | 64 | $0.00 |
| 99080 | 0% | 165 | $0.00 | |
| G9458 | Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user | 0% | 13 | $0.00 |
| 4040F | 0% | 27 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 595 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 326 | $0.00 |
| G9969 | Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred | 0% | 64 | $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 officialARORA, MANISH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Capital Home Care LLC | Falls Church, VA | $30.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.