Sam, Susan

Sam, Susan was paid $19K by Medicaid between Jun 2018 and Aug 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoSAM, SUSAN
CHICAGO, IL 60637

33aNPI1013020759assigned 08/16/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$19K

24GClaims344

24DCodes billed4

24AFirst – last monthJun 2018 – Aug 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Illinois

Rank by total paid#94 of 193

Median peer was paid$18K

This provider vs. median1.1×

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	12	$730.40
2019	41	$964.06
2020	29	$975.85
2021	13	$863.20
2022	98	$7K
2023	102	$5K
2024incomplete	49	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	58%	166	153	$11K
99254		36%	124	118	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.6%	40	36	$888.01
99222	Initial hospital care, per day, moderate complexity	<1%	14	14	$102.80

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.