Physician
Rockford Digestive Health Specialists, P.A.
Rockford Digestive Health Specialists, P.A. was paid $53K by Medicaid between Jan 2018 and Nov 2020, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 88% of everything it billed.
33Billing provider infoROCKFORD DIGESTIVE HEALTH SPECIALISTS, P.A.
MOUNT AIRY, NC 27030
MOUNT AIRY, NC 27030
33aNPI1659388296assigned 08/02/2006
33bProvider typeGastroenterology Physician
28Total paid$53K
24GClaims3,085
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Gastroenterology Physician providers in North Carolina
Rank by total paid#31 of 64
Median peer was paid$44K
This provider vs. median1.2×
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 | 1,398 | $13K | |
| 2019 | 1,273 | $24K | |
| 2020 | 414 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 88% | 1,809 | 907 | $46K |
| 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 | 6.4% | 79 | 44 | $3K |
| 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 | 3.7% | 104 | 48 | $2K |
| 99205 | Prolong outpt/office vis | 2.0% | 55 | 14 | $1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,038 | 425 | $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 officialPFITZNER, GLENN (MD)