Capital Digestive Care, LLC
Capital Digestive Care, LLC was paid $31K by Medicaid between Feb 2018 and Jul 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoCAPITAL DIGESTIVE CARE, LLC
VIRGINIA BEACH, VA 23456
VIRGINIA BEACH, VA 23456
33aNPI1912193350assigned 09/19/2007
33bProvider typeSpecialist
28Total paid$31K
24GClaims798
24DCodes billed4
24AFirst – last monthFeb 2018 – Jul 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#131 of 231
Median peer was paid$47K
This provider vs. median0.6×
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 | 155 | $3K | |
| 2019 | 314 | $11K | |
| 2020 | 205 | $9K | |
| 2021 | 73 | $4K | |
| 2024incomplete | 51 | $4K |
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 | 56% | 557 | 454 | $17K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 32% | 200 | 189 | $10K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.4% | 13 | 13 | $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 | 5.8% | 28 | 27 | $2K |
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 officialSHORT, TIMOTHY (CEO)
Parent organizationCAPITAL DIGESTIVE CARE, LLC
| Provider | Location | Paid |
|---|---|---|
| Capital Digestive Care LLC | Silver Spring, MD | $2.78M |
| Capital Digestive Care ,LLC | Suffolk, VA | $161K |
| Capital Digestive Care LLC | Norfolk, VA | $133K |
| Capital Digestive Care ,LLC | Williamsburg, VA | $85K |
| Capital Digestive Care, LLC | Silver Spring, MD | $33K |
| Capital Digestive Care LLC | Chesapeake, VA | $10K |
| Capital Digestive Care, LLC | Rockville, MD | $3K |
| Capital Digestive Care, LLC | Laurel, MD | $935.67 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.