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    OpenPayerNPI Medicare & MedicaidMilton Ochieng'
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    Milton Ochieng' — Billing Profile & Reimbursement Data

    NPI 1477717080 · O Fallon, MO · Gastroenterology Physician

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    Milton Ochieng' is a gastroenterology physician provider located in O Fallon, Missouri. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMilton Ochieng'
    Address20 Progress Point Pkwy
    CityO Fallon
    StateMO
    ZIP63368
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 12, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$54.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…200$100$19.7K
    45382The provider examines the colon and rectum using a colonoscope, a tubular instrument with a light source and camera, to identify the source of internal bleeding. He then controls the bleeding in the…30$200$6.2K
    45385The 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…30$190$5.8K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.70$70$4.5K
    45378The 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…30$140$4.4K
    43255An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.30$140$3.5K
    99232The 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…40$60$2.4K
    45380The 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…20$110$2K
    43239The 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.50$40$1.9K
    43249The 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.20$70$1.6K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538524334060$250$21K
    992323,2364,32090$60$10.8K
    4538028635040$150$9.1K
    4323920637060$100$6.9K
    432495911020$190$6.6K
    4538211030$200$6.2K
    99222573,10030$100$4.3K
    453783921020$160$3.9K
    432352223020$100$3.1K
    4325553020$140$2.6K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Milton Ochieng', ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkland Health CenterMOGeneral Acute Care Hospital$0$33.5M
    Physician Groups LcMOMulti-Specialty Clinic/Center$0$9.8M
    Parkland Health CenterMORural Acute Care Hospital$0$5.7M
    Physician Groups LcMOMulti-Specialty Clinic/Center$0$4.2M
    Joseph JudgeILDiagnostic Radiology Physician$395.1K$998.5K
    Muhammad AliILHematology & Oncology Physician$1.2M$64.9K
    Sami SibaiILDiagnostic Radiology Physician$184.8K$846.8K
    Hisham YoussefILDiagnostic Radiology Physician$205K$563.7K
    Humam FarahMOCritical Care Medicine (Internal Medicine) Physician$624.9K$2.3K
    Gregory BortoffNCDiagnostic Radiology Physician$587.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Milton Ochieng', ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Air Evac Ems, Inc.MOAir Ambulance$1.5M$4.5M
    Saadia RazaMOMOHS-Micrographic Surgery Physician$549.7K$0
    Brian MeekMOPain Medicine Physician$268.9K$0
    Angela SprayMODermatology Physician$206K$0
    Steven SchneiderMOUrology Physician$194.5K$0
    Robert SciortinoMOOrthopaedic Surgery Physician$177.5K$0
    John MccarthyMOUrology Physician$159.8K$0
    Kevin QuigleyMOSports Medicine (Orthopaedic Surgery) Physician$128.8K$0
    Daniel CrenshawMOPhysical Therapist$104K$0
    Scott ArbaughMOBehavioral Neurology & Neuropsychiatry Physician$91K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Milton Ochieng' — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri