Physician
Advanced Digestive Care, LLC
Advanced Digestive Care, LLC was paid $42K by Medicaid between Jul 2018 and Oct 2020, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 49% of everything it billed.
33Billing provider infoADVANCED DIGESTIVE CARE, LLC
ANNANDALE, VA 22003
ANNANDALE, VA 22003
33aNPI1629462171assigned 03/23/2015
33bProvider typeGastroenterology Physician
28Total paid$42K
24GClaims975
24DCodes billed6
24AFirst – last monthJul 2018 – Oct 2020
Compared with peers
Next to other Gastroenterology Physician providers in Virginia
Rank by total paid#25 of 40
Median peer was paid$68K
This provider vs. median0.6×
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 | 50 | $1K | |
| 2019 | 610 | $26K | |
| 2020 | 315 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 49% | 588 | 316 | $21K |
| 99222 | Initial hospital care, per day, moderate complexity | 32% | 195 | 172 | $14K |
| 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 | 10% | 86 | 75 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 52 | 40 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 34 | 27 | $1K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.1% | 20 | 15 | $909.97 |
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 officialPROSKY, MARTIN (ADMINISTRATOR)