Physician
Digestive Health Specialists, PA
Digestive Health Specialists, PA was paid $962K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 52% of everything it billed.
33Billing provider infoDIGESTIVE HEALTH SPECIALISTS, PA
WINSTON-SALEM, NC 27103
WINSTON-SALEM, NC 27103
33aNPI1801837745assigned 06/10/2006
33bProvider typeGastroenterology Physician
28Total paid$962K
24GClaims16,500
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in North Carolina
Rank by total paid#5 of 64
Median peer was paid$44K
This provider vs. median22×
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 | 890 | $29K | |
| 2019 | 1,387 | $90K | |
| 2020 | 1,120 | $92K | |
| 2021 | 2,247 | $138K | |
| 2022 | 2,202 | $148K | |
| 2023 | 4,025 | $166K | |
| 2024incomplete | 4,629 | $298K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 52% | 4,713 | 3,820 | $502K |
| 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 | 34% | 7,565 | 6,061 | $330K |
| 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 | 7.0% | 686 | 559 | $68K |
| 88342 | 3.0% | 537 | 415 | $28K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.2% | 172 | 137 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 371 | 293 | $11K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 200 | 77 | $7K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 16 | 12 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 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) | <1% | 26 | 26 | $68.42 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 398 | 385 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 144 | 134 | $0.00 |
6 more codes
| 3017F | 0% | 1,569 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 37 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 12 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 15 | $0.00 |
| 1036F | 0% | 14 | $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 officialTILLINGER, JACQUELYN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Digestive Health Specialists, PA | Winston Salem, NC | $211K |
| Digestive Health Specialists, PA | Kernersville, NC | $14K |
| Digestive Health Specialists, PA | Advance, NC | $12K |
| Digestive Health Specialists, PA | Thomasville, NC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.