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NPI 1306921218 · Belleville, IL · Gastroenterology Physician
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Vasantha Pai is a gastroenterology physician provider located in Belleville, Illinois. This profile covers 13 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Vasantha Pai |
| Address | 2810 Frank Scott Pkwy W Ste 716 |
| City | Belleville |
| State | IL |
| ZIP | 62223 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | October 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $777.8K |
| Medicare | $576.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 370 | $270 | $98.9K |
| 43249 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter. | 130 | $660 | $87.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,140 | $60 | $71.6K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 420 | $160 | $68.5K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 680 | $80 | $51K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 230 | $200 | $45.7K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 150 | $300 | $43.2K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 800 | $50 | $39.2K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 430 | $90 | $38.7K |
| 45398 | During a flexible colonoscopy, the provider ligates a structure such as a hemorrhoid using a flexible band. | 30 | $610 | $20.6K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 556 | 580 | 610 | $30 | $38.2K |
| 45385 | 92 | 640 | 60 | $270 | $23.4K |
| 99214 | 2,466 | 18,540 | 110 | $80 | $17.1K |
| 45380 | 14 | 670 | 50 | $160 | $12.7K |
| 43239 | 14 | 680 | 70 | $110 | $9.6K |
| 99213 | 148 | 17,390 | 70 | $60 | $8.8K |
| 43249 | 3 | 130 | 20 | $280 | $8.1K |
| 45398 | 1 | 10 | 20 | $390 | $7.4K |
| 96365 | 3 | 410 | 90 | $50 | $6.6K |
| 91110 | 24 | 40 | 20 | $310 | $6.2K |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 1,740 | $180 | $313.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 4,890 | $30 | $127K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 750 | $140 | $105.3K |
| 99244 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider… | 420 | $140 | $58.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,320 | $40 | $48.9K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 1,050 | $30 | $32.4K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 290 | $90 | $27.1K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 140 | $140 | $19.3K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 160 | $60 | $9.9K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 1,240 | $10 | $9.9K |
Showing 1–10 of 19
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
19 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 9 | 300 | 70 | $180 | $50.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 2,768 | 14,680 | 300 | $50 | $48.7K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 15 | 40 | 50 | $200 | $42.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 782 | 14,190 | 280 | $20 | $38.9K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 2,601 | 3,830 | 210 | $40 | $29.4K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 2,488 | 4,800 | 210 | $30 | $29.3K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 9 | 80 | 150 | $40 | $29.3K |
| 99244 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider… | 104 | 750 | 60 | $130 | $26.1K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 9 | 120 | 50 | $140 | $25K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 113 | 480 | 70 | $90 | $24.5K |
Showing 1–10 of 19
Other providers in the same ZIP code as Vasantha Pai, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Chestnut Health Systems, Inc. | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $16.2M |
| Iv Care, LLC | IL | Home Infusion Therapy Pharmacy | $0 | $10.4M |
| Southern Illinois Healthcare Foundation, Inc | IL | Federally Qualified Health Center (FQHC) | $0 | $10.2M |
| Southern Illinois Healthcare Foundation, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $6.3M |
| Medicine Express, LLC | IL | Long Term Care Pharmacy | $260.8K | $0 |
| Eric Whittenburg | IL | Foot & Ankle Surgery Podiatrist | $153.2K | $0 |
| Casandra Roy | IL | Family Nurse Practitioner | $79.5K | $47.1K |
| Rebecca Blandina | IL | Occupational Therapist | $103K | $3.2K |
| Oliver Wolfe | IL | Anesthesiology Physician | $100.3K | $0 |
| Melissa Helfrich | IL | Optometrist | $69.1K | $0 |
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