Physician
Settergren, Roy
Settergren, Roy was paid $38K by Medicaid between May 2022 and Sep 2024, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 54% of everything it billed.
33Billing provider infoSETTERGREN, ROY
HINSDALE, IL 60521
HINSDALE, IL 60521
33aNPI1194055863assigned 01/02/2010
33bProvider typeHospitalist Physician
28Total paid$38K
24GClaims780
24DCodes billed3
24AFirst – last monthMay 2022 – Sep 2024
Compared with peers
Next to other Hospitalist Physician providers in Illinois
Rank by total paid#168 of 514
Median peer was paid$19K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2022 | 92 | $4K | |
| 2023 | 390 | $20K | |
| 2024incomplete | 298 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 54% | 502 | 240 | $20K |
| 99223 | Prolong inpt eval add15 m | 30% | 135 | 133 | $11K |
| 99239 | Hospital discharge day management, more than 30 minutes | 16% | 143 | 141 | $6K |
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.