Grande, Anthony

Grande, Anthony was paid $121K by Medicaid between Feb 2018 and Nov 2024, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 38% of everything it billed.

33Billing provider infoGRANDE, ANTHONY
PARK RIDGE, IL 60068

33aNPI1477558377assigned 06/16/2005

33bProvider typeGastroenterology Physician

28Total paid$121K

24GClaims1,931

24DCodes billed9

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#62 of 370

Median peer was paid$16K

This provider vs. median7.5×

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
2018	98	$2K
2019	341	$10K
2020	334	$12K
2021	560	$35K
2022	238	$28K
2023	139	$20K
2024incomplete	221	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	38%	249	221	$46K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	28%	1,078	352	$34K
45380	Colonoscopy, flexible; with biopsy, single or multiple	13%	98	87	$16K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	329	299	$15K
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	3.7%	72	65	$5K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.2%	39	28	$3K
99223	Prolong inpt eval add15 m	1.6%	31	27	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	23	14	$488.75
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$382.41

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.