Physician
Platinum Digestive Health
Platinum Digestive Health was paid $155K by Medicaid between Jun 2019 and Nov 2024, across 14 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 30% of everything it billed.
33Billing provider infoPLATINUM DIGESTIVE HEALTH
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
33aNPI1629537352assigned 03/12/2019
33bProvider typeGastroenterology Physician
28Total paid$155K
24GClaims3,713
24DCodes billed14
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#134 of 363
Median peer was paid$55K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2019 | 209 | $7K | |
| 2020 | 319 | $10K | |
| 2021 | 443 | $17K | |
| 2022 | 386 | $16K | |
| 2023 | 608 | $23K | |
| 2024incomplete | 1,748 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 30% | 885 | 875 | $47K |
| 99222 | Initial hospital care, per day, moderate complexity | 14% | 459 | 449 | $21K |
| 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 | 13% | 305 | 305 | $21K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 654 | 333 | $18K |
| 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 | 9.5% | 453 | 447 | $15K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 8.0% | 103 | 102 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 203 | 203 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.6% | 272 | 164 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 226 | 224 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 64 | 43 | $1K |
| 43235 | <1% | 14 | 14 | $1K | |
| 99221 | <1% | 34 | 34 | $580.82 |
2 more codes
| 99153 | Mod sedat endo service >5yrs | <1% | 27 | $241.02 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 14 | $24.19 |
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 officialPATEL, BHAVESHKUMAR (MD)