Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Flower Mound › NPI 1689650475
Physician

Texas Digestive Disease Consultants, PLLC

Texas Digestive Disease Consultants, PLLC was paid $283K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoTEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
FLOWER MOUND, TX 75028
33aNPI1689650475assigned 12/22/2005
28Total paid$283K
24GClaims7,785
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Gastroenterology Physician providers in Texas

Rank by total paid#4 of 91
Median peer was paid$8K
This provider vs. median37×

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
2018243$3K
2019155$795.81
2020589$18K
20213,494$118K
20222,017$86K
2023874$43K
2024incomplete413$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 25% 2,279 2,140 $70K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 23% 790 762 $64K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 23% 2,298 1,128 $64K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 1,543 1,501 $30K
99254 11% 312 281 $30K
99222 Initial hospital care, per day, moderate complexity 4.6% 221 212 $13K
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 2.3% 104 103 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.3% 187 184 $4K
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% 12 12 $500.60
99223 Prolong inpt eval add15 m <1% 12 12 $353.22
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 12 $157.38
88342 <1% 13 13 $75.68

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 officialWEBER, JAMES (CEO)
Same official

Other billing entities under WEBER, JAMES

Full network →
ProviderLocationPaid
Gastrointestinal Specialists LLCRichmond, VA$315K
Gastroenterology Consultants, PLLCHouston, TX$110K
Gastrointestinal Associates, PAFlowood, MS$36K
Adriana Pop-Moody MD Clinic PLLCCorpus Christi, TX$21K
Prosthetic and Orthotic Care LLCFairview Heights, IL$16K
Gastrointestinal Associates, LLCColumbia, MO$2K
Carolina Digestive Disease PAColumbia, SC$780.44

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