Johnson, Mark

Johnson, Mark was paid $185K by Medicaid between Apr 2018 and Feb 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoJOHNSON, MARK
SPRINGFIELD, IL 62701

33aNPI1205811775assigned 12/07/2005

33bProvider typePediatric Pulmonology Physician

28Total paid$185K

24GClaims2,617

24DCodes billed6

24AFirst – last monthApr 2018 – Feb 2024

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Illinois

Rank by total paid#11 of 26

Median peer was paid$143K

This provider vs. median1.3×

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

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	92	$5K
2019	518	$55K
2020	347	$42K
2021	411	$23K
2022	479	$24K
2023	640	$30K
2024incomplete	130	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	50%	1,044	836	$93K
94010		21%	783	617	$39K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	590	485	$33K
99244	Office or other outpatient consultation, moderate to high complexity	7.9%	161	141	$15K
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	3.0%	24	14	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	14	$1K

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.