Stern, Theodore

Stern, Theodore was paid $181K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99283, emergency room visit (moderate) — 53% of everything it billed.

33Billing provider infoSTERN, THEODORE
WESTMONT, IL 60559

33aNPI1043202567assigned 08/19/2005

33bProvider typeFamily Medicine Physician

28Total paid$181K

24GClaims5,267

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#615 of 2,947

Median peer was paid$43K

This provider vs. median4.3×

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	992	$28K
2019	1,643	$52K
2020	1,494	$49K
2021	312	$15K
2022	281	$14K
2023	140	$7K
2024incomplete	405	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	53%	2,986	2,675	$97K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	694	643	$29K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	15%	564	538	$27K
99282	Emergency department visit for the evaluation and management, low to moderate severity	11%	823	753	$19K
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	2.9%	75	75	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	36	34	$1K
87631		<1%	12	12	$1K
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	<1%	12	12	$900.00
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	53	52	$731.85
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%	12	12	$300.00

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.