Physician
Advanced Digestive Center, INC
Advanced Digestive Center, INC was paid $1.09M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 35% of everything it billed.
33Billing provider infoADVANCED DIGESTIVE CENTER, INC
METUCHEN, NJ 08840
METUCHEN, NJ 08840
33aNPI1962423053assigned 07/22/2006
33bProvider typeGastroenterology Physician
28Total paid$1.09M
24GClaims19,571
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in New Jersey
Rank by total paid#7 of 150
Median peer was paid$27K
This provider vs. median41×
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 | 2,165 | $189K | |
| 2019 | 3,084 | $165K | |
| 2020 | 1,485 | $92K | |
| 2021 | 3,424 | $259K | |
| 2022 | 3,080 | $202K | |
| 2023 | 3,942 | $123K | |
| 2024incomplete | 2,391 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 35% | 2,486 | 2,262 | $385K |
| 45384 | 17% | 781 | 711 | $180K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 6,361 | 4,737 | $162K |
| 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 | 8.8% | 1,405 | 1,296 | $97K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.3% | 1,297 | 1,136 | $68K |
| 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 | 6.0% | 1,617 | 1,453 | $65K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.9% | 199 | 198 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 587 | 577 | $37K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3.0% | 635 | 572 | $33K |
| 99205 | Prolong outpt/office vis | 1.1% | 104 | 104 | $12K |
| 88313 | <1% | 174 | 174 | $3K | |
| 88312 | <1% | 115 | 115 | $3K |
18 more codes
| 91200 | <1% | 704 | $2K | |
| 88342 | <1% | 44 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47 | $1K |
| 99000 | <1% | 309 | $281.55 | |
| 99442 | <1% | 23 | $226.78 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 203 | $0.00 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 0% | 482 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 303 | $0.00 |
| A4550 | Surgical trays | 0% | 110 | $0.00 |
| 4004F | 0% | 72 | $0.00 | |
| 87799 | 0% | 76 | $0.00 | |
| 3017F | 0% | 129 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 92 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 170 | $0.00 |
| 1036F | 0% | 168 | $0.00 | |
| 99070 | 0% | 801 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 63 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 14 | $0.00 |
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 officialVASIREDDI, SRINIVAS (OWNER)