Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Digestive Care Center of Virginia

Digestive Care Center of Virginia was paid $483K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 34% of everything it billed.

33Billing provider infoDIGESTIVE CARE CENTER OF VIRGINIA
GLEN ALLEN, VA 23059
33aNPI1366646580assigned 06/12/2007
28Total paid$483K
24GClaims9,397
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Gastroenterology Physician providers in Virginia

Rank by total paid#6 of 40
Median peer was paid$68K
This provider vs. median7.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018829$22K
20191,560$70K
20201,772$101K
20211,550$84K
20221,353$69K
20231,409$88K
2024incomplete924$49K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 34% 2,152 1,857 $166K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 25% 4,366 1,986 $121K
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% 787 703 $68K
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 12% 1,112 959 $60K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7.5% 490 413 $36K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.0% 58 51 $10K
99222 Initial hospital care, per day, moderate complexity 1.4% 118 107 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.0% 84 79 $5K
43235 <1% 93 76 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 108 82 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 16 16 $2K
99255 <1% 13 13 $902.13

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 officialRAO, YIPING (PRESIDENT)