Physician
Capital Digestive Care ,LLC
Capital Digestive Care ,LLC was paid $161K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoCAPITAL DIGESTIVE CARE ,LLC
SUFFOLK, VA 23435
SUFFOLK, VA 23435
33aNPI1760541460assigned 12/08/2006
33bProvider typeGastroenterology Physician
28Total paid$161K
24GClaims3,933
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Virginia
Rank by total paid#16 of 40
Median peer was paid$68K
This provider vs. median2.4×
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 | 342 | $7K | |
| 2019 | 825 | $32K | |
| 2020 | 672 | $29K | |
| 2021 | 666 | $32K | |
| 2022 | 103 | $3K | |
| 2023 | 311 | $14K | |
| 2024incomplete | 1,014 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 56% | 1,640 | 1,515 | $91K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 791 | 689 | $26K |
| 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 | 9.2% | 174 | 162 | $15K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.2% | 266 | 238 | $8K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.4% | 28 | 27 | $7K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.8% | 55 | 50 | $6K |
| 43235 | 1.9% | 30 | 24 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 41 | 18 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 19 | 14 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 12 | $830.50 |
| 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 | $602.18 |
| J2704 | Injection, propofol, 10 mg | <1% | 335 | 307 | $356.07 |
3 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 officialSHORT, TIMOTHY (CEO)
Parent organizationCAPITAL DIGESTIVE CARE, LLC - GLST
| Provider | Location | Paid |
|---|---|---|
| Capital Digestive Care LLC | Silver Spring, MD | $2.78M |
| Capital Digestive Care LLC | Norfolk, VA | $133K |
| Capital Digestive Care ,LLC | Williamsburg, VA | $85K |
| Capital Digestive Care, LLC | Silver Spring, MD | $33K |
| Capital Digestive Care, LLC | Virginia Beach, VA | $31K |
| Capital Digestive Care LLC | Chesapeake, VA | $10K |
| Capital Digestive Care, LLC | Rockville, MD | $3K |
| Capital Digestive Care, LLC | Laurel, MD | $935.67 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.