Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Chicago › NPI 1235138546
Physician

Nielsen, Thomas

Nielsen, Thomas was paid $34K by Medicaid between Feb 2018 and Sep 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoNIELSEN, THOMAS
CHICAGO, IL 60612
33aNPI1235138546assigned 07/19/2005
33bProvider typeOtolaryngology Physician
28Total paid$34K
24GClaims984
24DCodes billed4
24AFirst – last monthFeb 2018 – Sep 2020
Compared with peers

Next to other Otolaryngology Physician providers in Illinois

Rank by total paid#94 of 221
Median peer was paid$21K
This provider vs. median1.6×

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$2.0K$3.0K2018201920202021202220232024
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
2018291$9K
2019430$15K
2020263$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 370 341 $16K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46% 580 530 $16K
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 3.9% 21 18 $1K
31575 2.3% 13 12 $795.78

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.