Digestive Health Center LLC

Digestive Health Center LLC was paid $613K by Medicaid between Apr 2022 and Nov 2024, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 48% of everything it billed.

33Billing provider infoDIGESTIVE HEALTH CENTER LLC
WATERLOO, IA 50701

33aNPI1548842180assigned 04/23/2021

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$613K

24GClaims2,620

24DCodes billed4

24AFirst – last monthApr 2022 – Nov 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Iowa

Rank by total paid#8 of 25

Median peer was paid$194K

This provider vs. median3.2×

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
2022	828	$126K
2023	1,053	$270K
2024incomplete	739	$217K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	48%	1,144	1,115	$293K
45380	Colonoscopy, flexible; with biopsy, single or multiple	27%	639	616	$168K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	18%	534	517	$112K
43249		6.5%	303	290	$40K

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 officialMALLAVARAPU, RAVINDRA (PRESIDENT)