Mustapha, Fadi

Mustapha, Fadi was paid $116K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 55% of everything it billed.

33Billing provider infoMUSTAPHA, FADI
DIXON, IL 61021

33aNPI1508801986assigned 06/18/2006

33bProvider typeGastroenterology Physician

28Total paid$116K

24GClaims1,753

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#65 of 370

Median peer was paid$16K

This provider vs. median7.2×

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	191	$6K
2019	248	$7K
2020	336	$19K
2021	204	$11K
2022	229	$17K
2023	336	$33K
2024incomplete	209	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	55%	434	371	$64K
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	28%	1,045	942	$33K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	11%	66	53	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.3%	155	144	$4K
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	2.5%	53	52	$3K

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.