Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUND PHYSICIANS OF ILLINOIS, LLC

NPI: 1043598865 · CHICAGO, IL 60616 · Family Medicine Physician · NPI assigned 07/27/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$4.98M
Total Medicaid Paid
113,926
Total Claims
61,874
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date07/27/2011

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M
COGENT HEALTHCARE OF NORTH CAROLINA, PC HIGH POINT NC $3.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,746 $465K
2019 4,324 $155K
2020 12,702 $445K
2021 16,378 $598K
2022 13,901 $750K
2023 28,639 $1.50M
2024 20,236 $1.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 53,987 20,657 $2.11M
99223 Prolong inpt eval add15 m 13,401 11,377 $1.06M
99232 Subsequent hospital care, per day, moderate complexity 24,463 10,462 $714K
99239 Hospital discharge day management, more than 30 minutes 12,055 10,565 $525K
99222 Initial hospital care, per day, moderate complexity 4,181 3,706 $329K
99220 2,348 2,029 $134K
99221 1,736 1,518 $90K
99231 Subsequent hospital care, per day, straightforward or low complexity 398 299 $8K
99238 Hospital discharge day management, 30 minutes or less 81 79 $3K
99217 78 73 $3K
99406 145 136 $974.20
99219 21 13 $626.98
99497 95 66 $396.01
99309 Subsequent nursing facility care, per day, low to moderate complexity 15 12 $310.41
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 13 12 $143.70
1123F 14 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 882 845 $0.00
1124F 13 13 $0.00