Pedersen, Paul

Pedersen, Paul was paid $93K by Medicaid between Dec 2019 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoPEDERSEN, PAUL
BLOOMINGTON, IL 61704

33aNPI1053403675assigned 09/29/2006

33bProvider typeInternal Medicine Physician

28Total paid$93K

24GClaims1,570

24DCodes billed8

24AFirst – last monthDec 2019 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#837 of 3,722

Median peer was paid$26K

This provider vs. median3.6×

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
2019	36	$2K
2020	668	$36K
2021	641	$42K
2022	35	$2K
2023	136	$8K
2024incomplete	54	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	81%	1,089	929	$75K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	290	255	$13K
90686		1.4%	69	48	$1K
0011A		1.4%	33	33	$1K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.0%	16	15	$968.38
0012A		<1%	18	18	$758.52
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	41	37	$603.82
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	14	12	$69.67

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.