Sullivan, Donald

Sullivan, Donald was paid $97K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 73564, — 29% of everything it billed.

33Billing provider infoSULLIVAN, DONALD
MT ZION, IL 62549

33aNPI1154511517assigned 07/31/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$97K

24GClaims4,391

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#81 of 422

Median peer was paid$21K

This provider vs. median4.7×

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

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	406	$5K
2019	649	$12K
2020	654	$12K
2021	782	$16K
2022	790	$21K
2023	876	$24K
2024incomplete	234	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
73564		29%	1,538	1,287	$28K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	18%	1,161	1,021	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	565	540	$14K
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	9.7%	259	233	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.2%	277	250	$9K
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	8.7%	120	109	$8K
20610		5.7%	135	107	$6K
73502		3.9%	221	191	$4K
73610		<1%	29	24	$578.73
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	86	68	$557.11

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.