1093824872

1093824872 was paid $44K by Medicaid between Jan 2018 and Dec 2022, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 85% of everything it billed.

33Billing provider info1093824872

33aNPI1093824872

33bProvider type—

28Total paid$44K

24GClaims1,405

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2022

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	1,047	$23K
2019	247	$7K
2020	79	$7K
2021	14	$4K
2022	18	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	85%	335	262	$38K
45380	Colonoscopy, flexible; with biopsy, single or multiple	5.4%	22	13	$2K
46221		5.2%	57	31	$2K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	4.2%	16	12	$2K
G8907	Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility	0%	617	552	$0.00
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	0%	358	308	$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.