Murphy, Tom
Murphy, Tom was paid $596K by Medicaid between Jan 2018 and Mar 2023, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoMURPHY, TOM
PONTIAC, IL 61764
PONTIAC, IL 61764
33aNPI1104087394assigned 06/19/2008
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$596K
24GClaims16,038
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#32 of 981
Median peer was paid$27K
This provider vs. median22×
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 | 3,878 | $140K | |
| 2019 | 4,237 | $153K | |
| 2020 | 3,276 | $119K | |
| 2021 | 3,345 | $126K | |
| 2022 | 1,047 | $45K | |
| 2023 | 255 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 8,054 | 6,892 | $332K |
| 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 | 27% | 2,782 | 2,406 | $162K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 1,495 | 1,300 | $23K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.8% | 718 | 568 | $23K |
| 87428 | 2.4% | 227 | 224 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 398 | 319 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 555 | 411 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 69 | 57 | $5K |
| 90686 | <1% | 348 | 297 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 52 | 43 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25 | 15 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 139 | 106 | $1K |
11 more codes
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 80 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 17 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 199 | $900.32 |
| 81002 | <1% | 221 | $568.70 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $347.77 |
| 90633 | <1% | 25 | $160.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 491 | $115.40 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $113.29 |
| 81025 | <1% | 12 | $30.96 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $13.75 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 89 | $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.