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

Gandor, Theresa

Gandor, Theresa was paid $489K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 78% of everything it billed.

33Billing provider infoGANDOR, THERESA
ARLINGTON HEIGHTS, IL 60005
33aNPI1164674131assigned 10/21/2008
28Total paid$489K
24GClaims7,763
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#155 of 1,980
Median peer was paid$150K
This provider vs. median3.3×

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$10K$20K2018201920202021202220232024
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
20181,567$66K
20191,526$68K
20201,362$81K
2021765$64K
2022765$60K
20231,031$85K
2024incomplete747$65K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 78% 5,110 4,696 $380K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 1,366 1,270 $68K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.2% 1,122 993 $35K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 39 39 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 126 125 $463.23

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.