Iles, Zachary

Iles, Zachary was paid $88K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99284, emergency room visit (serious) — 48% of everything it billed.

33Billing provider infoILES, ZACHARY
MIDLAND, MI 48640

33aNPI1043449259assigned 07/09/2009

33bProvider typeFamily Medicine Physician

28Total paid$88K

24GClaims2,332

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#426 of 826

Median peer was paid$98K

This provider vs. median0.9×

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	178	$5K
2019	578	$18K
2020	287	$12K
2021	205	$10K
2022	341	$12K
2023	343	$12K
2024incomplete	400	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	48%	789	730	$42K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	15%	557	530	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	296	287	$11K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	7.8%	213	209	$7K
99282	Emergency department visit for the evaluation and management, low to moderate severity	6.2%	228	220	$5K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	5.6%	56	52	$5K
99281	Emergency department visit for the evaluation and management, self-limited or minor	2.5%	156	155	$2K
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	2.0%	37	36	$2K

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.