Physician
Barclay, Susan
Barclay, Susan was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoBARCLAY, SUSAN
SOUTH HOLLAND, IL 60473
SOUTH HOLLAND, IL 60473
33aNPI1144206145assigned 12/21/2005
33bProvider typePediatrics Physician
28Total paid$1.48M
24GClaims34,803
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#75 of 1,805
Median peer was paid$55K
This provider vs. median27×
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 | 3,538 | $161K | |
| 2019 | 6,077 | $294K | |
| 2020 | 6,665 | $256K | |
| 2021 | 2,119 | $89K | |
| 2022 | 5,136 | $200K | |
| 2023 | 5,764 | $230K | |
| 2024incomplete | 5,504 | $248K |
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 | 23% | 4,542 | 3,830 | $336K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 5,321 | 4,511 | $254K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 2,654 | 2,221 | $204K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 2,598 | 2,115 | $176K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 1,703 | 1,537 | $130K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.8% | 1,023 | 843 | $86K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.8% | 4,377 | 3,645 | $71K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 1,728 | 1,443 | $44K |
| 90670 | 2.0% | 1,751 | 1,360 | $30K | |
| 90677 | 1.9% | 437 | 382 | $28K | |
| 90723 | 1.3% | 1,581 | 1,273 | $20K | |
| 96127 | 1.2% | 1,269 | 1,052 | $18K |
26 more codes
| 90647 | 1.1% | 1,022 | $16K | |
| 90633 | <1% | 755 | $10K | |
| 90680 | <1% | 700 | $10K | |
| 99383 | <1% | 96 | $9K | |
| 90686 | <1% | 519 | $7K | |
| 90734 | <1% | 425 | $6K | |
| 90651 | <1% | 334 | $5K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 20 | $3K |
| 90710 | <1% | 189 | $3K | |
| 90700 | <1% | 88 | $1K | |
| 90656 | <1% | 79 | $1K | |
| 99381 | <1% | 14 | $1K | |
| 90715 | <1% | 98 | $1K | |
| 99384 | <1% | 12 | $1K | |
| 90696 | <1% | 115 | $1K | |
| 90648 | <1% | 154 | $1K | |
| 90716 | <1% | 84 | $999.63 | |
| 90707 | <1% | 67 | $746.81 | |
| 90685 | <1% | 57 | $528.39 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 793 | $469.18 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 31 | $421.43 |
| 90381 | <1% | 16 | $267.36 | |
| 90620 | <1% | 15 | $250.65 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $153.34 |
| 90681 | <1% | 17 | $110.40 | |
| 90461 | 0% | 102 | $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.