Physician
LA Digestive Health and Wellness, INC
LA Digestive Health and Wellness, INC was paid $404K by Medicaid between May 2018 and Nov 2024, across 14 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.
33Billing provider infoLA DIGESTIVE HEALTH AND WELLNESS, INC
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
33aNPI1942541826assigned 03/02/2013
33bProvider typeGastroenterology Physician
28Total paid$404K
24GClaims19,359
24DCodes billed14
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#96 of 363
Median peer was paid$55K
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 | 157 | $283.27 | |
| 2019 | 370 | $4K | |
| 2020 | 1,050 | $27K | |
| 2021 | 2,675 | $79K | |
| 2022 | 5,752 | $156K | |
| 2023 | 5,158 | $76K | |
| 2024incomplete | 4,197 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 42% | 9,091 | 1,559 | $171K |
| 99497 | 20% | 2,874 | 2,352 | $83K | |
| 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 | 9.0% | 1,786 | 1,698 | $36K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.4% | 993 | 905 | $30K |
| 99358 | Prolong nursin fac eval 15m | 6.7% | 1,332 | 843 | $27K |
| 99223 | Prolong inpt eval add15 m | 4.8% | 831 | 793 | $19K |
| 99443 | 3.6% | 632 | 581 | $14K | |
| 99356 | 3.4% | 704 | 449 | $14K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 206 | 196 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 706 | 304 | $3K |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 136 | 69 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 43 | 41 | $642.61 |
2 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 officialMAKHANI, MARC (PRESIDENT)