Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Belleville › NPI 1306921218
Physician

Pai, Vasantha

Pai, Vasantha was paid $778K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 40% of everything it billed.

33Billing provider infoPAI, VASANTHA
BELLEVILLE, IL 62223
33aNPI1306921218assigned 10/26/2006
28Total paid$778K
24GClaims14,163
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#13 of 370
Median peer was paid$16K
This provider vs. median48×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,835$133K
20193,125$151K
20202,638$97K
20212,324$155K
20221,911$163K
2023922$59K
2024incomplete408$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 40% 1,743 1,524 $313K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 4,886 4,438 $128K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14% 752 651 $106K
99244 Office or other outpatient consultation, moderate to high complexity 7.5% 418 373 $58K
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 6.3% 1,321 1,290 $49K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.2% 1,046 959 $32K
99243 3.5% 291 256 $27K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2.5% 137 128 $19K
99223 Prolong inpt eval add15 m 1.3% 155 137 $10K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.3% 874 835 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.2% 1,240 546 $10K
99222 Initial hospital care, per day, moderate complexity <1% 287 266 $7K
7 more codes
99232 Hospital visit by a doctor, follow-up day <1% 192 $4K
99253 <1% 24 $1K
A4550 Surgical trays <1% 362 $1K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 83 $981.40
99204 Doctor's office visit, new patient (more involved) <1% 32 $227.21
99072 <1% 225 $23.75
36000 0% 95 $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.