Physician
Orange County Digestive Care INC
Orange County Digestive Care INC was paid $295K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 22% of everything it billed.
33Billing provider infoORANGE COUNTY DIGESTIVE CARE INC
FOUNTAIN VALLEY, CA 92708
FOUNTAIN VALLEY, CA 92708
33aNPI1699091074assigned 04/11/2010
33bProvider typeGastroenterology Physician
28Total paid$295K
24GClaims3,306
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#114 of 363
Median peer was paid$55K
This provider vs. median5.4×
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 | 416 | $25K | |
| 2019 | 176 | $10K | |
| 2020 | 15 | $1K | |
| 2021 | 454 | $27K | |
| 2022 | 67 | $2K | |
| 2023 | 855 | $70K | |
| 2024incomplete | 1,323 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 22% | 257 | 255 | $64K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 21% | 563 | 563 | $61K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 18% | 308 | 304 | $53K |
| 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 | 13% | 794 | 782 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.4% | 826 | 821 | $28K |
| 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 | 6.9% | 299 | 287 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 167 | 167 | $11K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.8% | 24 | 24 | $8K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.0% | 13 | 13 | $6K |
| 99243 | 1.5% | 55 | 55 | $5K |
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 officialNGUYEN, DUKE (PRESIDENT)