Poulos, Dorothea

Poulos, Dorothea was paid $212K by Medicaid between Jan 2018 and May 2023, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoPOULOS, DOROTHEA
ELGIN, IL 60123

33aNPI1003804519assigned 10/10/2005

33bProvider typeFamily Medicine Physician

28Total paid$212K

24GClaims5,345

24DCodes billed27

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#538 of 2,947

Median peer was paid$43K

This provider vs. median5.0×

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	1,364	$52K
2019	1,613	$59K
2020	2,100	$89K
2021	254	$12K
2023	14	$509.36

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	62%	2,965	2,505	$132K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.1%	198	196	$15K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.4%	162	160	$14K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.0%	190	172	$13K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.2%	145	137	$11K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.7%	81	80	$6K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.6%	466	397	$6K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	2.3%	108	107	$5K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.1%	28	24	$2K
90734		<1%	95	83	$2K
90688		<1%	120	106	$1K
90682		<1%	16	13	$901.13

15 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	54	$845.10
96127		<1%	58	$837.71
90700		<1%	100	$765.28
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	38	$583.45
0502F		<1%	13	$573.30
90715		<1%	52	$488.90
90686		<1%	42	$369.88
81003		<1%	165	$361.88
90713		<1%	43	$281.57
90648		<1%	41	$252.85
90670		<1%	25	$160.00
90651		<1%	18	$115.20
90698		<1%	13	$83.20
99173		<1%	13	$44.70
99072		0%	96	$0.00

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.