Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rathert, Nicholas

Rathert, Nicholas was paid $108K by Medicaid between Dec 2018 and Oct 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 50% of everything it billed.

33Billing provider infoRATHERT, NICHOLAS
GREENVILLE, IL 62246
33aNPI1134380843assigned 06/24/2008
28Total paid$108K
24GClaims2,029
24DCodes billed3
24AFirst – last monthDec 2018 – Oct 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,183 of 1,980
Median peer was paid$150K
This provider vs. median0.7×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
201824$730.96
2019395$14K
2020398$17K
2021334$14K
2022247$11K
2023310$23K
2024incomplete321$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 50% 830 739 $55K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 29% 902 758 $31K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 21% 297 254 $22K

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.