Summerville, Bruce

Summerville, Bruce was paid $13K by Medicaid between Feb 2019 and May 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoSUMMERVILLE, BRUCE
GURNEE, IL 60031

33aNPI1164474979assigned 05/17/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$13K

24GClaims525

24DCodes billed4

24AFirst – last monthFeb 2019 – May 2023

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#240 of 422

Median peer was paid$21K

This provider vs. median0.6×

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
2019	198	$5K
2020	78	$3K
2021	115	$2K
2022	91	$2K
2023	43	$763.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	44%	267	244	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	43%	156	131	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12%	82	75	$2K
73562		<1%	20	15	$101.00

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.