Physician
Digestive & Liver Clinic, PLLC.
Digestive & Liver Clinic, PLLC. was paid $818K by Medicaid between Jan 2018 and May 2024, across 14 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 23% of everything it billed.
33Billing provider infoDIGESTIVE & LIVER CLINIC, PLLC.
LONDON, KY 40741
LONDON, KY 40741
33aNPI1770813164assigned 01/06/2010
33bProvider typeGastroenterology Physician
28Total paid$818K
24GClaims13,453
24DCodes billed14
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Gastroenterology Physician providers in Kentucky
Rank by total paid#5 of 23
Median peer was paid$116K
This provider vs. median7.1×
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 | 1,824 | $118K | |
| 2019 | 1,788 | $109K | |
| 2020 | 2,224 | $118K | |
| 2021 | 2,672 | $150K | |
| 2022 | 2,064 | $114K | |
| 2023 | 2,291 | $164K | |
| 2024incomplete | 590 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 23% | 2,252 | 1,831 | $192K |
| 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 | 21% | 4,918 | 3,938 | $172K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 17% | 1,345 | 1,208 | $142K |
| 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 | 10% | 1,365 | 1,143 | $84K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.8% | 523 | 405 | $63K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.6% | 335 | 255 | $54K |
| 99243 | 4.1% | 443 | 411 | $33K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 1,233 | 1,010 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 463 | 413 | $25K |
| 99254 | 1.0% | 102 | 89 | $9K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 52 | 49 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 331 | 123 | $5K |
2 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 officialKANTHAWAR, ASHOK (CEO)