Digestive Health Consultants, PLC

Digestive Health Consultants, PLC was paid $195K by Medicaid between Jan 2018 and Dec 2023, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 37% of everything it billed.

33Billing provider infoDIGESTIVE HEALTH CONSULTANTS, PLC
FARMINGTON HILLS, MI 48334

33aNPI1710924170assigned 06/02/2006

33bProvider typeAnatomic Pathology & Clinical Pathology Physician

28Total paid$195K

24GClaims5,104

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Michigan

Rank by total paid#24 of 51

Median peer was paid$161K

This provider vs. median1.2×

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	919	$40K
2019	919	$31K
2020	803	$24K
2021	1,102	$37K
2022	922	$39K
2023	439	$23K

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	37%	1,933	1,199	$72K
99222	Initial hospital care, per day, moderate complexity	20%	552	525	$38K
99231	Subsequent hospital care, per day, straightforward or low complexity	16%	1,591	883	$31K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	11%	376	362	$21K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	5.4%	218	203	$10K
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	5.3%	157	154	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.8%	99	97	$3K
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	1.5%	64	58	$3K
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%	71	69	$3K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	24	24	$2K
99221		<1%	19	18	$963.98

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 officialGAMBLE, JENNIFER (SPECIAL PROJECTS MANAGER)