Pyle, Nathan

Pyle, Nathan was paid $43K by Medicaid between Jan 2019 and Jul 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 89% of everything it billed.

33Billing provider infoPYLE, NATHAN
DECATUR, IL 62526

33aNPI1174821540assigned 03/08/2011

33bProvider typeGastroenterology Physician

28Total paid$43K

24GClaims307

24DCodes billed5

24AFirst – last monthJan 2019 – Jul 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#112 of 370

Median peer was paid$16K

This provider vs. median2.7×

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	34	$852.60
2020	35	$569.60
2021	30	$6K
2022	76	$13K
2023	66	$11K
2024incomplete	66	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	89%	210	188	$38K
45380	Colonoscopy, flexible; with biopsy, single or multiple	6.3%	15	12	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	34	33	$852.60
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	1.6%	13	13	$695.70
99231	Subsequent hospital care, per day, straightforward or low complexity	1.3%	35	12	$569.60

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.