Physician
East Bay Center for Digestive Health Medical Associates, INC
East Bay Center for Digestive Health Medical Associates, INC was paid $271K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 23% of everything it billed.
33Billing provider infoEAST BAY CENTER FOR DIGESTIVE HEALTH MEDICAL ASSOCIATES, INC
OAKLAND, CA 94612
OAKLAND, CA 94612
33aNPI1689782039assigned 08/27/2006
33bProvider typeGastroenterology Physician
28Total paid$271K
24GClaims41,070
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#119 of 363
Median peer was paid$55K
This provider vs. median4.9×
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
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 | 5,912 | $100K | |
| 2019 | 5,966 | $31K | |
| 2020 | 4,114 | $13K | |
| 2021 | 6,040 | $26K | |
| 2022 | 5,918 | $25K | |
| 2023 | 7,519 | $47K | |
| 2024incomplete | 5,601 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 23% | 5,253 | 5,181 | $61K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 20% | 4,751 | 4,662 | $55K |
| 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 | 15% | 4,720 | 4,703 | $39K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 12% | 10,960 | 10,883 | $33K |
| 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% | 5,323 | 5,291 | $32K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.7% | 1,273 | 1,262 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 1,710 | 1,689 | $11K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 4.0% | 1,280 | 1,272 | $11K |
| 88312 | 2.6% | 4,445 | 4,432 | $7K | |
| 76981 | 1.6% | 149 | 96 | $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% | 612 | 612 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 83 | 51 | $978.42 |
5 more codes
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 officialDUENAS, MARIA (BUSINESS MANAGER)