Physician
Sanders, Michael
Sanders, Michael was paid $285K by Medicaid between Nov 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoSANDERS, MICHAEL
BARTONVILLE, IL 61607
BARTONVILLE, IL 61607
33aNPI1104848332assigned 07/24/2006
33bProvider typePediatrics Physician
28Total paid$285K
24GClaims6,611
24DCodes billed18
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#437 of 1,805
Median peer was paid$55K
This provider vs. median5.2×
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 | 106 | $5K | |
| 2019 | 1,001 | $45K | |
| 2020 | 2,264 | $79K | |
| 2021 | 1,405 | $61K | |
| 2022 | 607 | $34K | |
| 2023 | 735 | $35K | |
| 2024incomplete | 493 | $27K |
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 | 50% | 2,938 | 2,525 | $142K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 792 | 709 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 436 | 412 | $30K |
| 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 | 6.6% | 261 | 249 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 198 | 177 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 51 | 48 | $4K |
| 83655 | 1.4% | 340 | 322 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 195 | 184 | $3K |
| 90670 | <1% | 291 | 281 | $2K | |
| 90686 | <1% | 242 | 212 | $2K | |
| 90647 | <1% | 264 | 257 | $2K | |
| 90633 | <1% | 164 | 159 | $1K |
6 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.