Physician
Venetos, John
Venetos, John was paid $603K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 26% of everything it billed.
33Billing provider infoVENETOS, JOHN
CHICAGO, IL 60625
CHICAGO, IL 60625
33aNPI1952324584assigned 07/25/2006
33bProvider typeGastroenterology Physician
28Total paid$603K
24GClaims29,265
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Illinois
Rank by total paid#16 of 370
Median peer was paid$16K
This provider vs. median37×
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 | 3,171 | $55K | |
| 2019 | 3,483 | $55K | |
| 2020 | 7,093 | $85K | |
| 2021 | 3,345 | $65K | |
| 2022 | 4,248 | $123K | |
| 2023 | 4,221 | $110K | |
| 2024incomplete | 3,704 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 26% | 1,403 | 1,190 | $157K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 23% | 7,237 | 1,666 | $140K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 20% | 13,923 | 3,120 | $119K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.0% | 2,523 | 2,070 | $48K |
| 45384 | 7.5% | 353 | 293 | $45K | |
| 99254 | 7.0% | 668 | 593 | $42K | |
| 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 | 3.6% | 805 | 628 | $22K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.4% | 60 | 53 | $9K |
| 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 | 1.3% | 227 | 195 | $8K |
| 99152 | <1% | 765 | 641 | $6K | |
| 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% | 123 | 114 | $2K |
| 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% | 73 | 68 | $1K |
6 more codes
| 43235 | <1% | 15 | $1K | |
| 82272 | <1% | 517 | $911.30 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 486 | $539.22 |
| 99221 | <1% | 51 | $259.53 | |
| 99223 | Prolong inpt eval add15 m | <1% | 20 | $138.00 |
| 99153 | Mod sedat endo service >5yrs | <1% | 16 | $107.19 |
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.