Carolina Digestive Diseases Center, PC
Carolina Digestive Diseases Center, PC was paid $102K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoCAROLINA DIGESTIVE DISEASES CENTER, PC
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1851413413assigned 04/04/2007
33bProvider typeSpecialist
28Total paid$102K
24GClaims3,270
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#83 of 172
Median peer was paid$83K
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 | 535 | $19K | |
| 2019 | 895 | $28K | |
| 2020 | 730 | $22K | |
| 2021 | 395 | $11K | |
| 2022 | 321 | $10K | |
| 2023 | 135 | $2K | |
| 2024incomplete | 259 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 2,098 | 1,553 | $54K |
| 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 | 41% | 1,051 | 826 | $41K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.3% | 86 | 68 | $4K |
| 99205 | Prolong outpt/office vis | 1.4% | 15 | 14 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | 13 | $213.19 |
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 officialOSEMEKA, AUSTIN (PRESIDENT)