Delaware Center for Digestive Care LLC
Delaware Center for Digestive Care LLC was paid $4.63M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 16% of everything it billed.
33Billing provider infoDELAWARE CENTER FOR DIGESTIVE CARE LLC
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1558722561assigned 03/18/2016
33bProvider typeSpecialist
28Total paid$4.63M
24GClaims52,537
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Delaware
Rank by total paid#4 of 27
Median peer was paid$103K
This provider vs. median45×
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 | 7,504 | $185K | |
| 2019 | 11,016 | $570K | |
| 2020 | 7,446 | $913K | |
| 2021 | 8,011 | $1.04M | |
| 2022 | 7,899 | $1.05M | |
| 2023 | 6,728 | $566K | |
| 2024incomplete | 3,933 | $297K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 16% | 5,727 | 5,071 | $738K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 12% | 2,506 | 2,229 | $552K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 5,669 | 4,811 | $548K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.2% | 2,585 | 2,241 | $424K |
| 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 | 8.4% | 8,008 | 7,053 | $388K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 8.1% | 2,191 | 1,876 | $375K |
| 88342 | 6.9% | 3,756 | 3,248 | $319K | |
| 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 | 5.4% | 3,147 | 2,747 | $252K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 5,503 | 4,871 | $202K |
| 88313 | 3.6% | 3,450 | 3,061 | $168K | |
| 00811 | 2.6% | 1,624 | 1,425 | $120K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 2,154 | 1,885 | $120K |
11 more codes
| 00731 | 2.5% | 1,679 | $118K | |
| 00813 | 2.1% | 1,194 | $98K | |
| 88312 | 2.1% | 1,792 | $95K | |
| 00812 | 1.3% | 862 | $62K | |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | <1% | 81 | $20K |
| 43235 | <1% | 227 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 199 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 135 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $498.62 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $251.93 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 21 | $22.88 |
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 officialALCORN, SARAH (VP, RCM)