Physician
Pratt, Timothy
Pratt, Timothy was paid $102K by Medicaid between Jan 2018 and Jan 2019, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoPRATT, TIMOTHY
SHEFFIELD, IL 61361
SHEFFIELD, IL 61361
33aNPI1073719357assigned 06/25/2007
33bProvider typeFamily Medicine Physician
28Total paid$102K
24GClaims2,313
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#953 of 2,947
Median peer was paid$43K
This provider vs. median2.4×
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 | 2,279 | $100K | |
| 2019 | 34 | $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 | 54% | 886 | 794 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 936 | 831 | $38K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 43 | 41 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 16 | 16 | $1K |
| 90686 | 1.1% | 89 | 73 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 69 | 66 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | 28 | $876.40 |
| 90633 | <1% | 60 | 57 | $377.60 | |
| 83655 | <1% | 26 | 25 | $308.36 | |
| 90670 | <1% | 28 | 28 | $206.40 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | 12 | $156.96 |
| 90648 | <1% | 16 | 15 | $116.00 |
3 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.