Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DIGESTIVE HEALTH SPECIALISTS, PA

NPI: 1801837745 · WINSTON-SALEM, NC 27103 · Gastroenterology Physician

$962K
Total Medicaid Paid
16,500
Total Claims
13,550
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 890 $29K
2019 1,387 $90K
2020 1,120 $92K
2021 2,247 $138K
2022 2,202 $148K
2023 4,025 $166K
2024 4,629 $298K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 4,713 3,820 $502K
99214 7,565 6,061 $330K
99204 686 559 $68K
88342 537 415 $28K
43239 172 137 $12K
99213 371 293 $11K
99232 200 77 $7K
45385 16 12 $3K
99244 12 12 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 26 26 $68.42
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 398 385 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 144 134 $0.00
3017F 1,569 1,530 $0.00
G8732 No documentation of pain assessment, reason not given 37 37 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13 13 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 12 12 $0.00
G8432 Depression screening not documented, reason not given 15 15 $0.00
1036F 14 12 $0.00