Pacana, Tommy

Pacana, Tommy was paid $126K by Medicaid between Jul 2019 and Oct 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 35% of everything it billed.

33Billing provider infoPACANA, TOMMY
AURORA, IL 60504

33aNPI1093018285assigned 12/10/2010

33bProvider typeGastroenterology Physician

28Total paid$126K

24GClaims1,400

24DCodes billed5

24AFirst – last monthJul 2019 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#60 of 370

Median peer was paid$16K

This provider vs. median7.8×

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
2019	56	$6K
2020	254	$20K
2021	400	$44K
2022	265	$22K
2023	265	$18K
2024incomplete	160	$16K

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%	208	197	$44K
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	32%	563	513	$41K
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	27%	570	517	$34K
45380	Colonoscopy, flexible; with biopsy, single or multiple	5.5%	40	40	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	19	12	$713.24

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.