Physician
Arizona Centers for Digestive Health LLC
Arizona Centers for Digestive Health LLC was paid $3.21M by Medicaid between Apr 2018 and Aug 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoARIZONA CENTERS FOR DIGESTIVE HEALTH LLC
GILBERT, AZ 85295
GILBERT, AZ 85295
33aNPI1568975316assigned 11/14/2017
33bProvider typeGastroenterology Physician
28Total paid$3.21M
24GClaims46,644
24DCodes billed29
24AFirst – last monthApr 2018 – Aug 2024
Compared with peers
Next to other Gastroenterology Physician providers in Arizona
Rank by total paid#3 of 63
Median peer was paid$93K
This provider vs. median34×
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 | 3,596 | $140K | |
| 2019 | 8,945 | $569K | |
| 2020 | 7,920 | $417K | |
| 2021 | 9,839 | $754K | |
| 2022 | 7,857 | $579K | |
| 2023 | 5,723 | $492K | |
| 2024incomplete | 2,764 | $259K |
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 | 28% | 17,500 | 15,907 | $902K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 5,089 | 4,744 | $409K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 11% | 3,174 | 3,059 | $351K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.8% | 2,582 | 2,390 | $314K |
| 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% | 3,359 | 3,191 | $284K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.8% | 1,689 | 1,539 | $219K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 4,024 | 3,774 | $154K |
| 88313 | 4.5% | 1,816 | 1,765 | $146K | |
| 88312 | 4.3% | 1,698 | 1,650 | $137K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.4% | 624 | 569 | $78K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 560 | 522 | $57K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 757 | 733 | $48K |
17 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,942 | $25K |
| 99442 | <1% | 352 | $18K | |
| 99254 | <1% | 111 | $14K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 83 | $13K |
| 99243 | <1% | 86 | $9K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 114 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 77 | $5K |
| 43259 | <1% | 77 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 59 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 110 | $4K |
| 88342 | <1% | 48 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 93 | $2K |
| S0285 | Colonoscopy consultation performed prior to a screening colonoscopy procedure | <1% | 12 | $2K |
| 43235 | <1% | 14 | $1K | |
| 99242 | <1% | 12 | $893.28 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 519 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 63 | $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 officialBACHMAN, JAMES (CEO)