Physician
Insite Digestive Health Care
Insite Digestive Health Care was paid $3.48M by Medicaid between Jan 2018 and Jun 2023, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 14% of everything it billed.
33Billing provider infoINSITE DIGESTIVE HEALTH CARE
GLENDALE, CA 91204
GLENDALE, CA 91204
33aNPI1386911006assigned 11/23/2011
33bProvider typeGastroenterology Physician
28Total paid$3.48M
24GClaims74,468
24DCodes billed39
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#20 of 363
Median peer was paid$55K
This provider vs. median63×
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 | 9,452 | $222K | |
| 2019 | 13,004 | $560K | |
| 2020 | 11,225 | $509K | |
| 2021 | 18,452 | $932K | |
| 2022 | 18,978 | $1.02M | |
| 2023 | 3,357 | $235K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 14% | 11,527 | 11,304 | $497K |
| 99223 | Prolong inpt eval add15 m | 11% | 5,226 | 5,118 | $397K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 10.0% | 5,589 | 5,543 | $347K |
| 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 | 9.1% | 4,070 | 4,066 | $316K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6.6% | 5,299 | 5,201 | $230K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 5.9% | 1,891 | 1,883 | $207K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.7% | 4,257 | 2,421 | $200K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 5.5% | 2,568 | 2,559 | $191K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.1% | 7,088 | 3,288 | $178K |
| 88312 | 4.9% | 2,956 | 2,950 | $170K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 6,518 | 6,387 | $149K |
| 99439 | 2.7% | 2,809 | 2,808 | $93K |
27 more codes
| 99203 | Doctor's office visit, new patient (routine) | 2.6% | 3,256 | $90K |
| 88313 | 2.4% | 2,977 | $84K | |
| 99490 | Ccm add 20min | 2.3% | 2,948 | $79K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 1,187 | $67K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.6% | 431 | $56K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 786 | $39K |
| 43235 | <1% | 457 | $30K | |
| 43246 | <1% | 166 | $14K | |
| 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) | <1% | 1,198 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 124 | $7K |
| 99454 | <1% | 159 | $6K | |
| 99442 | <1% | 69 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 267 | $4K |
| 00811 | <1% | 41 | $3K | |
| 46221 | <1% | 14 | $3K | |
| 00731 | <1% | 39 | $2K | |
| 99457 | <1% | 63 | $2K | |
| 91200 | <1% | 28 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $652.63 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $610.74 |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 13 | $583.84 |
| 99072 | <1% | 60 | $579.70 | |
| 99152 | <1% | 266 | $556.90 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 35 | $531.93 |
| 99487 | Ccm add 20min | <1% | 13 | $508.87 |
| 99489 | Ccm add 20min | <1% | 14 | $137.26 |
| 99153 | Mod sedat endo service >5yrs | <1% | 16 | $2.11 |
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 officialFARBER, RANDY (COO)