1659368900

1659368900 was paid $2.01M by Medicaid between Jan 2018 and Apr 2024, across 37 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 21% of everything it billed.

33Billing provider info1659368900

33aNPI1659368900

33bProvider type—

28Total paid$2.01M

24GClaims65,314

24DCodes billed37

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	15,731	$371K
2019	13,743	$392K
2020	9,379	$351K
2021	9,366	$308K
2022	8,367	$302K
2023	7,158	$243K
2024incomplete	1,570	$46K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	21%	5,191	4,824	$420K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	15,465	14,524	$285K
43248		10%	1,998	1,813	$209K
00731		8.3%	3,473	3,075	$168K
76700	Ultrasound, abdominal, real time with image documentation; complete	8.1%	5,373	5,007	$164K
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	5.6%	3,865	3,623	$114K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.6%	2,503	2,338	$92K
88305	Level IV - Surgical pathology, gross and microscopic examination	3.6%	3,192	3,018	$72K
88312		3.2%	1,914	1,805	$65K
74177	Computed tomography, abdomen and pelvis; with contrast material	2.9%	618	567	$58K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	2.7%	473	424	$54K
76705	Ultrasound, abdominal, real time with image documentation; limited	2.6%	2,659	2,440	$53K

25 more codes

88313		2.5%	1,746	$51K
99204	Doctor's office visit, new patient (more involved)	2.1%	711	$42K
93976		1.4%	608	$29K
45380	Colonoscopy, flexible; with biopsy, single or multiple	1.3%	272	$26K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	1.2%	290	$24K
74170		1.1%	284	$23K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	3,588	$15K
00812		<1%	177	$6K
80053	Comprehensive metabolic panel	<1%	2,387	$6K
43450		<1%	366	$5K
83690		<1%	1,358	$5K
82150		<1%	1,358	$5K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	173	$5K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	<1%	83	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	124	$3K
74160		<1%	26	$3K
00811		<1%	57	$3K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	18	$1K
36415	Collection of venous blood by venipuncture	<1%	1,658	$953.02
82274		<1%	292	$671.59
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	60	$609.81
81025		<1%	34	$109.57
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	1,948	$101.70
85610		<1%	27	$55.34
G9654	Monitored anesthesia care (mac)	0%	945	$0.00

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.