Boulay, Brian

Boulay, Brian was paid $55K by Medicaid between Apr 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoBOULAY, BRIAN
CHICAGO, IL 60612

33aNPI1023103439assigned 10/03/2006

33bProvider typeGastroenterology Physician

28Total paid$55K

24GClaims1,146

24DCodes billed3

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#99 of 370

Median peer was paid$16K

This provider vs. median3.4×

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	58	$5K
2019	64	$6K
2020	55	$5K
2021	168	$6K
2022	210	$9K
2023	340	$12K
2024incomplete	251	$11K

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	58%	662	616	$32K
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	42%	472	441	$23K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	12	12	$66.05

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.