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

Capital Digestive Care LLC

Capital Digestive Care LLC was paid $133K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 26% of everything it billed.

33Billing provider infoCAPITAL DIGESTIVE CARE LLC
NORFOLK, VA 23502
33aNPI1659563799assigned 08/13/2007
28Total paid$133K
24GClaims3,907
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Gastroenterology Physician providers in Virginia

Rank by total paid#17 of 40
Median peer was paid$68K
This provider vs. median2.0×

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$5.0K$10K$15K2018201920202021202220232024
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
2018136$1K
2019458$7K
2020582$11K
2021643$13K
2022504$9K
2023231$10K
2024incomplete1,353$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99231 Subsequent hospital care, per day, straightforward or low complexity 26% 2,171 1,215 $34K
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 19% 381 352 $25K
99222 Initial hospital care, per day, moderate complexity 13% 287 275 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 283 266 $13K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.6% 331 219 $13K
99221 5.4% 180 161 $7K
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 5.0% 76 71 $7K
99205 Prolong outpt/office vis 3.2% 32 30 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3.0% 55 52 $4K
76981 1.4% 27 26 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.3% 25 25 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.2% 29 29 $2K
2 more codes
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.1% 14 $1K
99223 Prolong inpt eval add15 m <1% 16 $1K

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 officialSHORT, TIMOTHY (CEO)
Parent organizationCAPITAL DIGESTIVE CARE, LLC- DIGESTIVE AND LIVER DISEASE SPECIALISTS
Same official

Other billing entities under SHORT, TIMOTHY

Full network →
ProviderLocationPaid
Capital Digestive Care LLCSilver Spring, MD$2.78M
Capital Digestive Care ,LLCSuffolk, VA$161K
Capital Digestive Care ,LLCWilliamsburg, VA$85K
Capital Digestive Care, LLCSilver Spring, MD$33K
Capital Digestive Care, LLCVirginia Beach, VA$31K
Capital Digestive Care LLCChesapeake, VA$10K
Capital Digestive Care, LLCRockville, MD$3K
Capital Digestive Care, LLCLaurel, MD$935.67

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