Phelps, Paul

Phelps, Paul was paid $4K by Medicaid between Jan 2018 and May 2023, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 63% of everything it billed.

33Billing provider infoPHELPS, PAUL
CHICAGO, IL 60614

33aNPI1003131657assigned 04/06/2010

33bProvider typeOphthalmic Plastic and Reconstructive Surgery Physician

28Total paid$4K

24GClaims139

24DCodes billed4

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Ophthalmic Plastic and Reconstructive Surgery Physician providers in Illinois

Rank by total paid#5 of 5

Median peer was paid$20K

This provider vs. median0.2×

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	48	$618.51
2022	63	$2K
2023	28	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	63%	58	56	$3K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	21%	33	31	$840.59
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	10%	15	13	$405.17
92285		5.4%	33	26	$213.34

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.