Bharucha, Stephen

Bharucha, Stephen was paid $397K by Medicaid between Jan 2018 and Feb 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 52% of everything it billed.

33Billing provider infoBHARUCHA, STEPHEN
BRONX, NY 10461

33aNPI1912913542assigned 08/01/2006

33bProvider typeGastroenterology Physician

28Total paid$397K

24GClaims3,997

24DCodes billed13

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#97 of 656

Median peer was paid$12K

This provider vs. median33×

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	806	$47K
2019	1,166	$83K
2020	680	$65K
2021	632	$86K
2022	385	$57K
2023	302	$56K
2024incomplete	26	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	52%	608	601	$208K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	1,130	1,053	$86K
45380	Colonoscopy, flexible; with biopsy, single or multiple	12%	123	117	$46K
99243		5.1%	173	173	$20K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.9%	798	662	$16K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.5%	52	52	$6K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	1.1%	12	12	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	156	144	$4K
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	<1%	19	19	$3K
J7030	Infusion, normal saline solution , 1000 cc	<1%	737	617	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	27	25	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	13	$770.01

1 more codes

99000

149

$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.