Digestive Health Center of Swla
Digestive Health Center of Swla was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 32% of everything it billed.
LAKE CHARLES, LA 70601
Next to other Gastroenterology Physician providers in Louisiana
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,848 | $184K | |
| 2019 | 4,043 | $224K | |
| 2020 | 2,232 | $125K | |
| 2021 | 3,934 | $208K | |
| 2022 | 4,725 | $329K | |
| 2023 | 4,551 | $355K | |
| 2024incomplete | 2,951 | $229K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 32% | 6,787 | 5,896 | $529K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 18% | 1,642 | 1,456 | $300K |
| 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 | 14% | 3,805 | 3,478 | $233K |
| 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 | 9.0% | 6,892 | 6,142 | $149K |
| 45384 | 6.5% | 1,271 | 1,067 | $107K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 5.1% | 672 | 571 | $84K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 4.8% | 541 | 475 | $79K |
| 99205 | Prolong outpt/office vis | 4.4% | 946 | 861 | $72K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 913 | 827 | $36K |
| 43248 | 1.7% | 773 | 680 | $29K | |
| 99223 | Prolong inpt eval add15 m | <1% | 359 | 281 | $15K |
| 43235 | <1% | 76 | 68 | $4K |
8 more codes
| 43450 | <1% | 125 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 150 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 98 | $3K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 164 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $996.81 |
| 45381 | <1% | 14 | $866.70 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 23 | $629.88 |
| 43245 | <1% | 15 | $611.19 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.