Stern, Mark

Stern, Mark was paid $56K by Medicaid between Jan 2018 and Jun 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoSTERN, MARK
SPRINGFIELD, IL 62702

33aNPI1033201579assigned 09/29/2006

33bProvider typeRheumatology Physician

28Total paid$56K

24GClaims2,194

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Rheumatology Physician providers in Illinois

Rank by total paid#45 of 140

Median peer was paid$20K

This provider vs. median2.8×

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	368	$7K
2019	464	$12K
2020	575	$14K
2021	523	$15K
2022	264	$9K

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	63%	1,526	1,347	$35K
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	33%	539	512	$19K
20610		3.5%	77	53	$2K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	52	37	$369.65

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.