Physician
Digestive Medicine Associates
Digestive Medicine Associates was paid $183K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.
33Billing provider infoDIGESTIVE MEDICINE ASSOCIATES
HIALEAH, FL 33016
HIALEAH, FL 33016
33aNPI1700867488assigned 11/09/2005
33bProvider typeGastroenterology Physician
28Total paid$183K
24GClaims9,137
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Florida
Rank by total paid#19 of 166
Median peer was paid$27K
This provider vs. median6.7×
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 | 368 | $4K | |
| 2019 | 2,647 | $41K | |
| 2020 | 3,597 | $52K | |
| 2021 | 1,695 | $36K | |
| 2022 | 323 | $5K | |
| 2023 | 341 | $34K | |
| 2024incomplete | 166 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 35% | 5,208 | 956 | $64K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 28% | 603 | 467 | $51K |
| 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 | 15% | 1,922 | 1,383 | $27K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.4% | 641 | 438 | $15K |
| 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 | 6.3% | 246 | 183 | $12K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.0% | 118 | 113 | $9K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.5% | 13 | 13 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 196 | 150 | $1K |
| 99221 | <1% | 20 | 13 | $453.11 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 79 | 51 | $346.47 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 50 | 12 | $150.72 |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 0% | 41 | 37 | $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 officialMADERAL, FRANCISCO (OWNER/OPERATOR)
| Provider | Location | Paid |
|---|---|---|
| Digestive Medicine Histology Lab, LLC | Hialeah, FL | $236K |
| Gulfstream Anesthesia Group LLC | Hialeah, FL | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.