Physician
Elmore, Todd
Elmore, Todd was paid $173K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoELMORE, TODD
SPRINGFIELD, IL 62701
SPRINGFIELD, IL 62701
33aNPI1104854439assigned 06/28/2006
33bProvider typeNeurology Physician
28Total paid$173K
24GClaims4,091
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Neurology Physician providers in Illinois
Rank by total paid#35 of 371
Median peer was paid$18K
This provider vs. median9.6×
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 | 590 | $20K | |
| 2019 | 726 | $33K | |
| 2020 | 1,096 | $48K | |
| 2021 | 582 | $22K | |
| 2022 | 187 | $6K | |
| 2023 | 648 | $31K | |
| 2024incomplete | 262 | $15K |
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% | 2,246 | 1,976 | $95K |
| 95819 | 14% | 600 | 532 | $25K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.6% | 506 | 180 | $13K |
| 95886 | 6.4% | 151 | 136 | $11K | |
| 99223 | Prolong inpt eval add15 m | 5.5% | 148 | 114 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 201 | 191 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 116 | 67 | $6K |
| 95912 | 1.8% | 28 | 24 | $3K | |
| 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 | 1.4% | 53 | 52 | $2K |
| 99254 | <1% | 24 | 24 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 18 | 14 | $594.88 |
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.