Physician
Sweeney, Charles
Sweeney, Charles was paid $157K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 53% of everything it billed.
33Billing provider infoSWEENEY, CHARLES
ROCKFORD, IL 61107
ROCKFORD, IL 61107
33aNPI1063414944assigned 08/11/2005
33bProvider typeNephrology Physician
28Total paid$157K
24GClaims5,245
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Illinois
Rank by total paid#74 of 327
Median peer was paid$68K
This provider vs. median2.3×
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 | 618 | $13K | |
| 2019 | 917 | $25K | |
| 2020 | 1,447 | $42K | |
| 2021 | 884 | $29K | |
| 2022 | 701 | $22K | |
| 2023 | 406 | $15K | |
| 2024incomplete | 272 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 53% | 1,547 | 1,520 | $83K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 2,052 | 926 | $31K |
| 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 | 11% | 682 | 635 | $18K |
| 99223 | Prolong inpt eval add15 m | 4.8% | 143 | 121 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 466 | 429 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.1% | 230 | 92 | $7K |
| 90966 | 2.1% | 44 | 40 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 25 | 25 | $308.40 |
| 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 | 14 | $59.53 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 22 | 14 | $0.00 |
| 0513F | 0% | 20 | 12 | $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.