Butler, David

Butler, David was paid $855K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 35% of everything it billed.

33Billing provider infoBUTLER, DAVID
CHICAGO, IL 60608

33aNPI1083821037assigned 05/17/2007

33bProvider typeGastroenterology Physician

28Total paid$855K

24GClaims8,878

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#7 of 370

Median peer was paid$16K

This provider vs. median53×

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	1,002	$80K
2019	1,721	$150K
2020	1,052	$96K
2021	1,591	$166K
2022	1,481	$154K
2023	1,102	$117K
2024incomplete	929	$91K

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%	1,491	1,386	$304K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	30%	1,408	1,294	$259K
99243		13%	1,352	1,073	$109K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	2,854	2,541	$89K
99253		4.7%	857	822	$40K
99222	Initial hospital care, per day, moderate complexity	2.8%	487	472	$24K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	1.6%	54	49	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	210	200	$7K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	15	13	$3K
45384		<1%	12	12	$3K
43235		<1%	12	12	$2K
99223	Prolong inpt eval add15 m	<1%	36	36	$1K

4 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	12	$925.95
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	27	$875.20
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	$302.94
0528F		0%	38	$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.