Physician
Loughlin, Terrence
Loughlin, Terrence was paid $103K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoLOUGHLIN, TERRENCE
ROCKFORD, IL 61107
ROCKFORD, IL 61107
33aNPI1124141825assigned 04/09/2007
33bProvider typeOtolaryngology Physician
28Total paid$103K
24GClaims3,014
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Otolaryngology Physician providers in Illinois
Rank by total paid#53 of 221
Median peer was paid$21K
This provider vs. median4.9×
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 | 692 | $21K | |
| 2019 | 649 | $20K | |
| 2020 | 331 | $8K | |
| 2021 | 317 | $11K | |
| 2022 | 360 | $13K | |
| 2023 | 427 | $19K | |
| 2024incomplete | 238 | $11K |
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 | 40% | 1,667 | 1,480 | $41K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 36% | 965 | 929 | $36K |
| 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 | 15% | 228 | 221 | $15K |
| 31575 | 7.7% | 75 | 67 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 51 | 46 | $1K |
| 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 | 1.1% | 28 | 24 | $1K |
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.