Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Digestive Disease Group PA

Digestive Disease Group PA was paid $439K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 00731, — 30% of everything it billed.

33Billing provider infoDIGESTIVE DISEASE GROUP PA
GREENWOOD, SC 29646
33aNPI1891788907assigned 08/24/2005
28Total paid$439K
24GClaims3,977
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Gastroenterology Physician providers in South Carolina

Rank by total paid#1 of 32
Median peer was paid$20K
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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018757$50K
2019354$33K
2020189$21K
2021464$56K
2022550$63K
20231,156$143K
2024incomplete507$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
00731 30% 1,318 1,305 $133K
88305 Level IV - Surgical pathology, gross and microscopic examination 29% 1,031 951 $127K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14% 702 697 $64K
88313 11% 190 187 $47K
88312 5.5% 137 137 $24K
00811 5.0% 246 246 $22K
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 3.6% 256 255 $16K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.2% 60 60 $5K
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 <1% 12 12 $1K
43450 <1% 13 13 $446.45
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 12 $130.29

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 officialCRISP, APRIL (PRACTICE MANAGER)
Same official

Other billing entities under CRISP, APRIL

Full network →
ProviderLocationPaid
The Greenwood Endoscopy Center INCGreenwood, SC$653K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.