Cummins, Thomas

Cummins, Thomas was paid $77K by Medicaid between Feb 2018 and May 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 44% of everything it billed.

33Billing provider infoCUMMINS, THOMAS
CHICAGO, IL 60611

33aNPI1124198239assigned 11/08/2006

33bProvider typeChild & Adolescent Psychiatry Physician

28Total paid$77K

24GClaims1,894

24DCodes billed6

24AFirst – last monthFeb 2018 – May 2024

Compared with peers

Next to other Child & Adolescent Psychiatry Physician providers in Illinois

Rank by total paid#44 of 80

Median peer was paid$86K

This provider vs. median0.9×

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	286	$7K
2019	354	$11K
2020	358	$12K
2021	678	$37K
2023	143	$6K
2024incomplete	75	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	44%	1,058	426	$34K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	32%	456	143	$25K
99239	Hospital discharge day management, more than 30 minutes	21%	339	295	$17K
99222	Initial hospital care, per day, moderate complexity	<1%	13	13	$699.04
99223	Prolong inpt eval add15 m	<1%	15	13	$662.40
99221		<1%	13	13	$410.19

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.