Sutherland, David

Sutherland, David was paid $29K by Medicaid between Oct 2018 and Jul 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 39% of everything it billed.

33Billing provider infoSUTHERLAND, DAVID
BOURBONNAIS, IL 60914

33aNPI1619976909assigned 07/19/2005

33bProvider typeGastroenterology Physician

28Total paid$29K

24GClaims475

24DCodes billed5

24AFirst – last monthOct 2018 – Jul 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#142 of 370

Median peer was paid$16K

This provider vs. median1.8×

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	14	$255.15
2019	76	$8K
2020	25	$866.75
2021	104	$6K
2022	113	$4K
2023	59	$4K
2024incomplete	84	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	39%	58	53	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	320	301	$10K
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	11%	68	68	$3K
99244	Office or other outpatient consultation, moderate to high complexity	8.2%	17	12	$2K
45380	Colonoscopy, flexible; with biopsy, single or multiple	4.6%	12	12	$1K

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.