Zimmerman, Scott
Zimmerman, Scott was paid $160K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 59% of everything it billed.
33Billing provider infoZIMMERMAN, SCOTT
LOMBARD, IL 60148
LOMBARD, IL 60148
33aNPI1073507331assigned 09/01/2005
33bProvider typePodiatrist
28Total paid$160K
24GClaims18,391
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Podiatrist providers in Illinois
Rank by total paid#23 of 270
Median peer was paid$16K
This provider vs. median10.0×
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 | 3,656 | $11K | |
| 2019 | 3,178 | $27K | |
| 2020 | 3,662 | $43K | |
| 2021 | 3,021 | $31K | |
| 2022 | 2,513 | $22K | |
| 2023 | 1,306 | $16K | |
| 2024incomplete | 1,055 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 59% | 2,661 | 1,303 | $94K |
| 99307 | 28% | 8,775 | 4,904 | $44K | |
| 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% | 389 | 216 | $8K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.5% | 920 | 425 | $7K |
| 11056 | 1.7% | 2,340 | 2,332 | $3K | |
| G0127 | Trimming of dystrophic nails, any number | 1.5% | 2,220 | 2,198 | $2K |
| 11719 | <1% | 754 | 747 | $858.78 | |
| 11055 | <1% | 228 | 226 | $839.91 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 85 | 39 | $443.29 |
| 99304 | <1% | 19 | 18 | $138.20 |
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.