Calisoff, Randy

Calisoff, Randy was paid $23K by Medicaid between Jan 2018 and Jul 2022, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoCALISOFF, RANDY
CHICAGO, IL 60611

33aNPI1205920659assigned 10/02/2006

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$23K

24GClaims1,045

24DCodes billed2

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Illinois

Rank by total paid#97 of 229

Median peer was paid$16K

This provider vs. median1.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (08/20/2024).

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	370	$5K
2019	375	$9K
2020	113	$4K
2021	103	$3K
2022	84	$3K

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	87%	837	738	$20K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	208	94	$3K

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.