Physician
Calabrese, Charles
Calabrese, Charles was paid $75K by Medicaid between Jul 2020 and Oct 2024, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 65% of everything it billed.
33Billing provider infoCALABRESE, CHARLES
UNIONTOWN, PA 15401
UNIONTOWN, PA 15401
33aNPI1730287145assigned 09/20/2006
33bProvider typeGastroenterology Physician
28Total paid$75K
24GClaims2,321
24DCodes billed10
24AFirst – last monthJul 2020 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in Pennsylvania
Rank by total paid#24 of 178
Median peer was paid$6K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 194 | $2K | |
| 2021 | 1,432 | $22K | |
| 2022 | 235 | $20K | |
| 2023 | 252 | $18K | |
| 2024incomplete | 208 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 65% | 749 | 736 | $49K |
| 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 | 13% | 227 | 226 | $9K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 11% | 70 | 69 | $9K |
| 43248 | 7.3% | 49 | 48 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | 3.3% | 30 | 28 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 362 | 360 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 226 | 225 | $0.00 |
| 4004F | 0% | 43 | 43 | $0.00 | |
| 3017F | 0% | 364 | 362 | $0.00 | |
| 1036F | 0% | 201 | 200 | $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.