Physician
Digestive Health & Wellness, LLC
Digestive Health & Wellness, LLC was paid $689K 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) — 29% of everything it billed.
33Billing provider infoDIGESTIVE HEALTH & WELLNESS, LLC
PHOENIX, AZ 85037
PHOENIX, AZ 85037
33aNPI1881077279assigned 07/02/2015
33bProvider typeGastroenterology Physician
28Total paid$689K
24GClaims12,757
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Arizona
Rank by total paid#12 of 63
Median peer was paid$93K
This provider vs. median7.4×
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 | 952 | $63K | |
| 2019 | 2,115 | $71K | |
| 2020 | 2,545 | $75K | |
| 2021 | 2,036 | $115K | |
| 2022 | 1,914 | $130K | |
| 2023 | 1,871 | $138K | |
| 2024incomplete | 1,324 | $98K |
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 | 29% | 3,543 | 3,457 | $200K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 25% | 1,422 | 1,304 | $172K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 19% | 1,910 | 1,836 | $134K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 1,196 | 1,150 | $45K |
| 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 | 5.7% | 475 | 465 | $39K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.1% | 348 | 336 | $35K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.5% | 191 | 185 | $24K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.5% | 122 | 119 | $17K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.4% | 87 | 86 | $16K |
| 88342 | <1% | 67 | 66 | $3K | |
| 88313 | <1% | 88 | 87 | $2K | |
| 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% | 34 | 33 | $2K |
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 officialCRUZ, ELIZABETH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Digestive Healthcare Associates, LLC | Phoenix, AZ | $414.18 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.