Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Oak Lawn › NPI 1073537643
Physician

Sam, Ronald

Sam, Ronald was paid $279K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99284, emergency room visit (serious) — 33% of everything it billed.

33Billing provider infoSAM, RONALD
OAK LAWN, IL 60453
33aNPI1073537643assigned 07/27/2006
28Total paid$279K
24GClaims6,714
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#260 of 3,722
Median peer was paid$26K
This provider vs. median11×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018411$8K
2019501$12K
2020707$16K
2021552$18K
2022497$19K
20232,949$151K
2024incomplete1,097$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 33% 1,339 1,334 $92K
99349 31% 2,361 2,176 $86K
99350 Prolong home eval add 15m 25% 1,990 1,799 $70K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.3% 686 686 $26K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 50 50 $2K
99348 <1% 37 37 $1K
99343 <1% 15 15 $557.18
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 16 15 $473.80
99487 Ccm add 20min 0% 220 215 $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.