Physician
Pliura, Thomas
Pliura, Thomas was paid $1.60M by Medicaid between May 2020 and Nov 2024, across 21 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 35% of everything it billed.
33Billing provider infoPLIURA, THOMAS
NORMAL, IL 61761
NORMAL, IL 61761
33aNPI1124054010assigned 06/23/2006
33bProvider typeEmergency Medical Services (Emergency Medicine) Physician
28Total paid$1.60M
24GClaims44,929
24DCodes billed21
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers
Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Illinois
Rank by total paid#1 of 68
Median peer was paid$165K
This provider vs. median9.7×
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 | |
|---|---|---|---|
| 2020 | 7,972 | $232K | |
| 2021 | 23,368 | $840K | |
| 2022 | 12,620 | $487K | |
| 2023 | 736 | $26K | |
| 2024incomplete | 233 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 35% | 15,950 | 12,024 | $555K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 8,252 | 5,856 | $396K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 6,008 | 5,673 | $285K |
| 99000 | 6.3% | 4,695 | 3,734 | $101K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.7% | 1,847 | 1,541 | $91K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 4.3% | 1,376 | 1,027 | $69K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.5% | 3,242 | 2,359 | $40K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 933 | 696 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 520 | 217 | $12K |
| 86769 | <1% | 101 | 51 | $4K | |
| 86328 | <1% | 51 | 47 | $2K | |
| 99072 | <1% | 1,682 | 1,130 | $2K |
9 more codes
| 0002A | <1% | 43 | $2K | |
| 0011A | <1% | 53 | $2K | |
| 0003A | <1% | 29 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 41 | $829.45 |
| 86735 | <1% | 51 | $689.11 | |
| 0001A | <1% | 13 | $547.82 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $235.50 |
| 91300 | 0% | 15 | $0.00 | |
| 91301 | 0% | 12 | $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.