Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Texas Digestive Disease Consultants, PLLC

Texas Digestive Disease Consultants, PLLC was paid $7K by Medicaid between Jan 2021 and Jun 2024, across 4 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 70% of everything it billed.

33Billing provider infoTEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
SOUTHLAKE, TX 76092
33aNPI1649256546assigned 12/22/2005
28Total paid$7K
24GClaims299
24DCodes billed4
24AFirst – last monthJan 2021 – Jun 2024
Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#50 of 91
Median peer was paid$8K
This provider vs. median0.9×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
202169$1K
202269$638.46
202390$3K
2024incomplete71$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 70% 175 171 $5K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 14% 31 12 $959.87
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 12% 80 71 $787.80
88342 3.7% 13 12 $246.94

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 officialSUMMERALL, STEPHANIE (SVP, PAYER RELATIONS)
Same official

Other billing entities under SUMMERALL, STEPHANIE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.