Medicaid Provider Spending

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

TIBREWALA, SUSHILKUMAR

NPI: 1457366858 · HERRIN, IL 62948 · Gastroenterology Physician · NPI assigned 07/31/2006

$807K
Total Medicaid Paid
6,069
Total Claims
5,558
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 914 $96K
2019 1,389 $144K
2020 704 $79K
2021 601 $94K
2022 871 $137K
2023 953 $173K
2024 637 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,845 2,588 $468K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 943 888 $186K
45380 Colonoscopy, flexible; with biopsy, single or multiple 323 272 $50K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 845 787 $29K
99243 350 322 $27K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 153 132 $24K
99244 Office or other outpatient consultation, moderate to high complexity 70 70 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 189 186 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 268 262 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 60 39 $3K
99442 23 12 $0.00