Carolina Digestive Diseases, PA
Carolina Digestive Diseases, PA was paid $274K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 54% of everything it billed.
33Billing provider infoCAROLINA DIGESTIVE DISEASES, PA
GREENVILLE, NC 27834
GREENVILLE, NC 27834
33aNPI1447339767assigned 11/06/2006
33bProvider typeSpecialist
28Total paid$274K
24GClaims3,885
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#63 of 172
Median peer was paid$83K
This provider vs. median3.3×
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 | 457 | $27K | |
| 2019 | 527 | $37K | |
| 2020 | 435 | $35K | |
| 2021 | 360 | $23K | |
| 2022 | 594 | $38K | |
| 2023 | 639 | $44K | |
| 2024incomplete | 873 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 54% | 1,192 | 948 | $147K |
| 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 | 31% | 1,922 | 1,604 | $84K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 550 | 453 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 171 | 148 | $5K |
| 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 | 1.1% | 34 | 30 | $3K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 16 | 12 | $785.54 |
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 officialSHIVERS, JAZETT (ADMINISTRATOR)