Digestive Health Associates LLC Terre Haute

Digestive Health Associates LLC Terre Haute was paid $281K by Medicaid between Jan 2018 and Jul 2022, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoDIGESTIVE HEALTH ASSOCIATES LLC TERRE HAUTE
TERRE HAUTE, IN 47802

33aNPI1558810408assigned 10/03/2016

33bProvider typeGastroenterology Physician

28Total paid$281K

24GClaims5,438

24DCodes billed17

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other Gastroenterology Physician providers in Indiana

Rank by total paid#3 of 33

Median peer was paid$32K

This provider vs. median8.7×

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	1,565	$53K
2019	1,537	$105K
2020	1,124	$56K
2021	1,142	$61K
2022	70	$5K

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	33%	1,828	1,608	$92K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	1,749	1,400	$53K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	17%	320	52	$48K
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	8.9%	242	215	$25K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	5.7%	481	369	$16K
45380	Colonoscopy, flexible; with biopsy, single or multiple	5.6%	140	133	$16K
43249		4.9%	104	78	$14K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	124	108	$5K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.7%	35	31	$5K
43248		1.0%	28	26	$3K
44361		<1%	29	26	$2K
43237		<1%	17	16	$2K

5 more codes

99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	27	$520.84
95117		<1%	29	$94.76
99406		<1%	40	$65.40
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)).	0%	122	$0.00
99490	Ccm add 20min	0%	123	$0.00

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 officialSHARMA, RAJIV (OWNER/GASTROENTEROLOGIST)