Physician
Digestive Associates of Ohio
Digestive Associates of Ohio was paid $446K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 44% of everything it billed.
33Billing provider infoDIGESTIVE ASSOCIATES OF OHIO
COLUMBUS, OH 43215
COLUMBUS, OH 43215
33aNPI1528383346assigned 04/05/2010
33bProvider typeGastroenterology Physician
28Total paid$446K
24GClaims8,867
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Ohio
Rank by total paid#16 of 59
Median peer was paid$45K
This provider vs. median9.9×
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 | 2,211 | $102K | |
| 2019 | 1,842 | $96K | |
| 2020 | 894 | $50K | |
| 2021 | 1,064 | $57K | |
| 2022 | 1,057 | $54K | |
| 2023 | 1,044 | $48K | |
| 2024incomplete | 755 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 44% | 2,122 | 1,935 | $196K |
| 99223 | Prolong inpt eval add15 m | 33% | 2,842 | 2,604 | $146K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.6% | 1,182 | 720 | $34K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.0% | 1,320 | 690 | $27K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.4% | 443 | 392 | $20K |
| 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 | 3.2% | 487 | 432 | $14K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 24 | 24 | $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% | 169 | 162 | $3K |
| 43235 | <1% | 14 | 14 | $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 | <1% | 13 | 13 | $644.61 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 50 | 46 | $619.96 |
| 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% | 173 | 156 | $65.32 |
1 more codes
| 99152 | <1% | 28 | $5.06 |
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 officialTZAGOURNIS, JOHN (MANAGING MEMBER)