Medicaid Provider Spending

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

DIGESTIVE HEALTH CLINIC LLC

NPI: 1891310561 · NAMPA, ID 83687 · Gastroenterology Physician · NPI assigned 06/09/2020

$76K
Total Medicaid Paid
1,117
Total Claims
1,098
Beneficiaries
4
Codes Billed
2021-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMALLORY, MARK (MANAGER)
Parent OrganizationDIGESTIVE HEALTH CLINIC LLC
NPI Enumeration Date06/09/2020

Related Entities

Other providers sharing the same authorized official: MALLORY, MARK

ProviderCityStateTotal Paid
IDAHO ENDOSCOPY CENTER LLC BOISE ID $1.25M
IDAHO ENDOSCOPY CENTER LLC NAMPA ID $717K
DIGESTIVE HEALTH CLINIC LLC BOISE ID $331K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 112 $6K
2022 262 $18K
2023 411 $27K
2024 332 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 759 744 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 283 279 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 63 63 $6K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 12 12 $318.70