Physician
Hart, John
Hart, John was paid $227K by Medicaid between Jan 2018 and May 2021, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoHART, JOHN
ROCKFORD, IL 61107
ROCKFORD, IL 61107
33aNPI1073625208assigned 09/01/2006
33bProvider typePediatrics Physician
28Total paid$227K
24GClaims4,962
24DCodes billed16
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#515 of 1,805
Median peer was paid$55K
This provider vs. median4.1×
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 | 1,566 | $73K | |
| 2019 | 2,171 | $98K | |
| 2020 | 960 | $46K | |
| 2021 | 265 | $11K |
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 | 43% | 1,481 | 1,313 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,444 | 1,191 | $61K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.7% | 670 | 563 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 236 | 198 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 239 | 208 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 104 | 96 | $7K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 81 | 77 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 40 | 40 | $3K |
| 90686 | <1% | 195 | 162 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 35 | 30 | $952.07 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 60 | 57 | $854.78 |
| 90670 | <1% | 126 | 105 | $787.20 |
4 more codes
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.