DIGESTIVECARE, LLC
Ambulatory Surgical Clinic/Center · BEAVERCREEK, OH
Organization Active NPI 1184687386
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,034 | 2,780 | $7,843,891 | $1,269,627 | $1,049,890 |
| 2023 | 1,859 | 2,567 | $4,928,311 | $1,085,190 | $908,637 |
| 2022 | 1,820 | 2,621 | $2,418,150 | $1,075,508 | $873,297 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 1,026 | $560 | $464 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 535 | $307 | $237 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 261 | $406 | $331 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 174 | $435 | $435 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 130 | $336 | $259 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 110 | $433 | $433 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 108 | $373 | $293 |
| 43450 | Dilation of esophagus | 101 | $373 | $298 |
| 43259 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 79 | $766 | $599 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 76 | $437 | $347 |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 45 | $288 | $239 |
| 45331 | Biopsy of lower large bowel using a flexible endoscope | 21 | $426 | $337 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 139 | OH |
| Clinical Medical Laboratory | 291U00000X | 36D0711013 | OH |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.