1568442747

1568442747 was paid $3.32M by Medicaid between Jan 2018 and Apr 2024, across 21 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 25% of everything it billed.

33Billing provider info1568442747

33aNPI1568442747

33bProvider type—

28Total paid$3.32M

24GClaims44,533

24DCodes billed21

24AFirst – last monthJan 2018 – Apr 2024

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	9,906	$737K
2019	7,638	$515K
2020	6,900	$497K
2021	8,773	$656K
2022	6,671	$501K
2023	3,772	$344K
2024incomplete	873	$75K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	25%	7,335	6,946	$844K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	18%	2,952	2,784	$613K
00731		12%	5,911	5,508	$394K
88305	Level IV - Surgical pathology, gross and microscopic examination	11%	8,049	7,691	$354K
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	7.1%	4,670	4,322	$235K
00811		6.6%	3,526	3,292	$219K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	5.3%	1,208	1,128	$177K
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%	3,396	3,224	$109K
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	3.2%	1,516	1,408	$107K
99223	Prolong inpt eval add15 m	3.0%	2,088	1,962	$99K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.3%	1,697	1,597	$75K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	176	171	$30K

9 more codes

00812		<1%	333	$18K
99222	Initial hospital care, per day, moderate complexity	<1%	478	$15K
99215	Doctor's office visit, returning patient (complex)	<1%	208	$13K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	476	$12K
99232	Hospital visit by a doctor, follow-up day	<1%	450	$8K
43235		<1%	20	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	16	$250.54
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$134.54
99443		<1%	15	$114.51

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.