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Organization

CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA

According to 2025 Medicare claims, CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA (NPI: 1063584415) practices ambulatory surgical center in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Mecklenburg, NC. This provider's primary affiliated billing organization is CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA (NPI: 1063584415; TIN: 561335864) and primary practice location at 28211-3092.

The organization's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 841 traditional Medicare patients, billed 1,148 HCPCS/CPT codes, and received $456,195 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$231K$463K2015 Medicare payment: $391,155 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $422,772 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $462,902 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $428,410 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $405,868 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $375,309 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $431,050 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $380,140 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $402,135 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $456,195 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159961,412$391,155
20161,0441,516$422,772
20171,1441,640$462,902
20181,0021,472$428,410
20199131,331$405,868
20208471,225$375,309
20219611,334$431,050
20228351,164$380,140
20238081,107$402,135
20248411,148$456,195

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

No connected Part D records

No connected Part D records

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare287288$472
G0105Colorectal cancer screening; colonoscopy on individual at high risk140141$440
45380Biopsy of large bowel using a flexible endoscope207207$413
43248Insertion of guide wire with dilation of esophagus using a flexible endoscope6674$290
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope280291$250

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA?

Tedicare shows public-source Medicare data for CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA (NPI 1063584415), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA?

CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA is linked to CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA (billing NPI 1063584415) in the available physician profile data.

Does CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.