Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Galesburg › NPI 1225079379
Physician

Davis, Mark

Davis, Mark was paid $11K by Medicaid between Apr 2018 and Oct 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoDAVIS, MARK
GALESBURG, IL 61401
33aNPI1225079379assigned 06/09/2006
33bProvider typeSurgery Physician
28Total paid$11K
24GClaims334
24DCodes billed5
24AFirst – last monthApr 2018 – Oct 2021
Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#154 of 422
Median peer was paid$5K
This provider vs. median2.2×

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
201856$2K
201971$2K
2020117$4K
202190$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 160 135 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25% 61 60 $3K
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 24% 40 30 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15% 58 56 $2K
99152 <1% 15 13 $63.34

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.