Physician
Medigest Healthcare Services LLC
Medigest Healthcare Services LLC was paid $215K by Medicaid between Mar 2018 and Aug 2023, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoMEDIGEST HEALTHCARE SERVICES LLC
AVENEL, NJ 07001
AVENEL, NJ 07001
33aNPI1609387109assigned 10/24/2017
33bProvider typeGastroenterology Physician
28Total paid$215K
24GClaims4,910
24DCodes billed13
24AFirst – last monthMar 2018 – Aug 2023
Compared with peers
Next to other Gastroenterology Physician providers in New Jersey
Rank by total paid#30 of 150
Median peer was paid$27K
This provider vs. median8.1×
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 | 138 | $7K | |
| 2019 | 367 | $16K | |
| 2020 | 426 | $20K | |
| 2021 | 912 | $43K | |
| 2022 | 1,711 | $79K | |
| 2023 | 1,356 | $49K |
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% | 1,873 | 1,755 | $71K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,022 | 955 | $31K |
| 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 | 14% | 405 | 373 | $29K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 332 | 294 | $28K |
| 99205 | Prolong outpt/office vis | 10% | 325 | 308 | $23K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 10% | 212 | 191 | $22K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.7% | 375 | 232 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 111 | 109 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 25 | 14 | $441.50 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 19 | 18 | $438.70 |
| 88342 | <1% | 82 | 28 | $167.65 | |
| 88313 | <1% | 85 | 28 | $96.64 |
1 more codes
| 88312 | <1% | 44 | $63.03 |
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 officialALBA, ELIZABETH (OFFICE MANAGER)