Physician
Pegg, Edward
Pegg, Edward was paid $26K by Medicaid between Mar 2018 and Mar 2023, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 57% of everything it billed.
33Billing provider infoPEGG, EDWARD
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
33aNPI1215273131assigned 12/20/2012
33bProvider typeNeurology Physician
28Total paid$26K
24GClaims523
24DCodes billed5
24AFirst – last monthMar 2018 – Mar 2023
Compared with peers
Next to other Neurology Physician providers in Illinois
Rank by total paid#163 of 371
Median peer was paid$18K
This provider vs. median1.4×
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 | 35 | $1K | |
| 2019 | 55 | $4K | |
| 2020 | 124 | $4K | |
| 2021 | 210 | $12K | |
| 2022 | 74 | $3K | |
| 2023 | 25 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 57% | 265 | 259 | $15K |
| 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 | 34% | 192 | 167 | $9K |
| 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 | 4.4% | 19 | 12 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.1% | 35 | 13 | $1K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 12 | 12 | $221.32 |
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.