Henry, Patricia

Henry, Patricia was paid $110K by Medicaid between Feb 2018 and Nov 2023, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 61% of everything it billed.

33Billing provider infoHENRY, PATRICIA
URBANA, IL 61801

33aNPI1629308663assigned 01/13/2010

33bProvider typeGastroenterology Physician

28Total paid$110K

24GClaims1,523

24DCodes billed11

24AFirst – last monthFeb 2018 – Nov 2023

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#67 of 370

Median peer was paid$16K

This provider vs. median6.8×

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	195	$8K
2019	552	$21K
2020	451	$26K
2021	62	$10K
2022	74	$13K
2023	189	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	61%	377	320	$67K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	12%	496	305	$13K
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	9.0%	251	233	$10K
99244	Office or other outpatient consultation, moderate to high complexity	8.9%	77	61	$10K
99222	Initial hospital care, per day, moderate complexity	3.5%	109	107	$4K
45380	Colonoscopy, flexible; with biopsy, single or multiple	2.4%	28	25	$3K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	1.4%	121	111	$2K
99254		1.3%	26	26	$1K
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	$332.40
91200		<1%	13	13	$112.58
99152		<1%	13	13	$89.88

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.