Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHANDRASEKARAN, PRATHIBHA

NPI: 1114985819 · REDDING, CA 96001 · Gastroenterology Physician · NPI assigned 05/02/2006

$383K
Total Medicaid Paid
4,444
Total Claims
4,172
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 756 $38K
2019 910 $59K
2020 1,186 $88K
2021 905 $77K
2022 338 $51K
2023 278 $58K
2024 71 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,579 1,558 $190K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,351 1,272 $105K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 706 689 $21K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 106 103 $21K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 289 247 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 49 48 $9K
99232 Subsequent hospital care, per day, moderate complexity 172 66 $7K
99223 Prolong inpt eval add15 m 62 60 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 49 49 $5K
99244 Office or other outpatient consultation, moderate to high complexity 25 25 $5K
99222 Initial hospital care, per day, moderate complexity 44 43 $3K
99152 12 12 $867.72