Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$1.0K$2.0K2018201920202021202220232024
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
201835$1K
201955$4K
2020124$4K
2021210$12K
202274$3K
202325$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.