Medicaid Provider Spending

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

ALVA, MANUEL

NPI: 1255405452 · BERWYN, IL 60402 · Gastroenterology Physician · NPI assigned 11/20/2006

$482K
Total Medicaid Paid
4,128
Total Claims
3,798
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $6K
2019 665 $76K
2020 740 $77K
2021 980 $121K
2022 616 $79K
2023 540 $68K
2024 453 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,529 1,421 $247K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 483 467 $108K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,383 1,263 $58K
99244 Office or other outpatient consultation, moderate to high complexity 307 269 $39K
45380 Colonoscopy, flexible; with biopsy, single or multiple 114 101 $17K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 39 38 $6K
99243 58 49 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 32 31 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 24 $621.58
99152 74 58 $561.02
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) 83 77 $353.89