Emm, Brian
Emm, Brian was paid $331K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoEMM, BRIAN
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
33aNPI1043315021assigned 09/14/2006
33bProvider typeSpecialist
28Total paid$331K
24GClaims6,760
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Illinois
Rank by total paid#37 of 273
Median peer was paid$32K
This provider vs. median10×
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 | 833 | $33K | |
| 2019 | 979 | $44K | |
| 2020 | 707 | $26K | |
| 2021 | 1,549 | $73K | |
| 2022 | 1,047 | $54K | |
| 2023 | 823 | $48K | |
| 2024incomplete | 822 | $53K |
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 | 27% | 1,912 | 1,631 | $89K |
| 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 | 25% | 1,056 | 954 | $83K |
| 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 | 8.8% | 377 | 221 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 396 | 327 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 295 | 265 | $23K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.2% | 476 | 440 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.5% | 1,016 | 882 | $18K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.1% | 123 | 119 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 98 | 67 | $7K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 51 | 46 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 36 | 29 | $3K |
| 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% | 118 | 113 | $3K |
10 more codes
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 50 | $3K |
| 96127 | <1% | 106 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 82 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $500.80 |
| 87081 | <1% | 37 | $214.60 | |
| 91307 | <1% | 13 | $0.01 | |
| 1220F | 0% | 26 | $0.00 | |
| 1036F | 0% | 26 | $0.00 | |
| 99072 | 0% | 146 | $0.00 | |
| 1003F | 0% | 304 | $0.00 |
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.