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    v1.0.28
    OpenPayerNPI Medicare & MedicaidYeshitila Mengesha
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    Yeshitila Mengesha — Billing Profile & Reimbursement Data

    NPI 1518298728 · Bismarck, ND · Gastroenterology Physician

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    Yeshitila Mengesha is a gastroenterology physician provider located in Bismarck, North Dakota. This profile covers 18 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
    OrganizationYeshitila Mengesha
    Address300 N 7th St
    CityBismarck
    StateND
    ZIP58501
    TaxonomyGastroenterology Physician
    NPI EnumeratedJanuary 28, 2010

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

    Payer SourceTotal Paid
    Medicare$122K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…320$200$63.6K
    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.120$70$8.4K
    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.100$80$7.8K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$180$7.7K
    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…100$70$7.4K
    99213The 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…100$40$4.2K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$3.8K
    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$120$3.7K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.10$260$2.9K
    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…30$90$2.6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538514050$220$17.2K
    4538094050$150$11.4K
    9923250856070$60$10K
    G010563030$210$8.1K
    4539021020$260$6K
    992136031,49080$50$5.8K
    4323974050$80$5.8K
    G012192030$200$5.5K
    4324991030$110$4.3K
    9922218844030$100$3.8K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Sanford BismarckNDMulti-Specialty Clinic/Center$0$43.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Sanford BismarckNDGeneral Acute Care Hospital$0$12.5M
    Sanford BismarckNDClinical Medical Laboratory$726.9K$4.3M
    Sanford BismarckNDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.5M
    Robert ReynoldsNDRadiation Oncology Physician$1.4M$0
    Sanford BismarckNDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.2M
    Sanford BismarckNDMulti-Specialty Clinic/Center$0$771.3K

    Nearby Providers

    Other providers in the same ZIP code as Yeshitila Mengesha, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Enable, Inc.NDIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$40.8M
    Heartview FoundationNDSubstance Use Disorder Rehabilitation Clinic/Center$0$13.6M
    Bismarck Public Schools Early InterventionNDEarly Intervention Provider Agency$0$12M
    West Central Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    D. Michael Goebel D.d.s., PCNDPediatric Dentistry$0$5.8M
    Poppy's Promise LLCNDCommunity/Behavioral Health Agency$0$5.6M
    St. Alexius Medical CenterNDSpecialist$0$3.6M
    Lasting Love HomecareNDIn Home Supportive Care Agency$0$3.6M
    St. Alexius Medical CenterNDGeneral Acute Care Hospital$0$3.5M
    West Central Behavioral Health ClinicNDCommunity/Behavioral Health Agency$0$3.4M

    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. North Dakota Distribution
    Yeshitila Mengesha — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota