Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Holterman, Mark

Holterman, Mark was paid $1.54M by Medicaid between Mar 2021 and Dec 2024, across 42 billing codes. Its largest line is 87633, Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets — 31% of everything it billed.

33Billing provider infoHOLTERMAN, MARK
CHICAGO, IL 60612
33aNPI1033168273assigned 05/06/2006
28Total paid$1.54M
24GClaims29,890
24DCodes billed42
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers

Next to other Pediatric Surgery Physician providers in Illinois

Rank by total paid#1 of 14
Median peer was paid$4K
This provider vs. median437×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20219,116$674K
20229,573$481K
20235,681$182K
2024incomplete5,520$203K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 31% 1,376 1,150 $471K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 9,667 7,802 $399K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 3,485 3,137 $163K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5.4% 914 866 $83K
87486 4.1% 1,369 1,139 $62K
87581 4.0% 1,367 1,137 $62K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.9% 3,870 3,362 $60K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3.6% 2,378 2,002 $55K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 3.6% 734 490 $55K
0202U Oncology (prostate), multianalyte, gene expression profiling 3.1% 202 139 $48K
99000 1.5% 974 794 $23K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1.2% 763 519 $19K
30 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 878 $9K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 35 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 192 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 104 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 39 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 39 $2K
81002 <1% 649 $2K
0004A <1% 35 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 38 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 12 $981.60
99214 Doctor's office visit, returning patient (more involved) <1% 16 $836.18
0064A <1% 19 $800.66
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 39 $719.90
71046 Radiologic examination, chest; 2 views <1% 35 $644.15
0002A <1% 15 $632.10
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 111 $582.66
80053 Comprehensive metabolic panel <1% 57 $580.17
84443 Thyroid stimulating hormone (TSH) <1% 28 $446.32
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 12 $338.90
84481 <1% 29 $284.48
90686 <1% 19 $232.46
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 12 $213.12
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 33 $189.42
99072 <1% 16 $175.00
82607 <1% 14 $168.00
80061 Lipid panel <1% 14 $112.42
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 30 $51.08
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 19 $45.27
36415 Collection of venous blood by venipuncture <1% 214 $44.50
91300 <1% 38 $0.12

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.