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

Pflederer, Timothy

Pflederer, Timothy was paid $51K by Medicaid between Jan 2018 and May 2023, across 4 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 89% of everything it billed.

33Billing provider infoPFLEDERER, TIMOTHY
PEORIA, IL 61603
33aNPI1154451573assigned 03/06/2007
28Total paid$51K
24GClaims979
24DCodes billed4
24AFirst – last monthJan 2018 – May 2023
Compared with peers

Next to other Vascular Surgery Physician providers in Illinois

Rank by total paid#8 of 65
Median peer was paid$6K
This provider vs. median8.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018228$6K
2019263$12K
2020202$7K
2021187$22K
202242$2K
202357$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 89% 773 759 $45K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.9% 140 86 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.8% 51 32 $2K
99152 <1% 15 12 $22.47

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.