Reishus, Scott

Reishus, Scott was paid $26K by Medicaid between Feb 2018 and May 2023, across 9 billing codes. Its largest line is 93970, — 28% of everything it billed.

33Billing provider infoREISHUS, SCOTT
DOWNERS GROVE, IL 60515

33aNPI1245210160assigned 01/18/2006

33bProvider typeSurgery Physician

28Total paid$26K

24GClaims1,727

24DCodes billed9

24AFirst – last monthFeb 2018 – May 2023

Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#97 of 422

Median peer was paid$5K

This provider vs. median5.2×

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

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	27	$672.87
2019	58	$988.82
2020	473	$5K
2021	946	$13K
2022	197	$6K
2023	26	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93970		28%	666	616	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	26%	193	189	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	189	178	$4K
93922		10%	250	236	$3K
93971		9.6%	327	293	$3K
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	4.3%	26	25	$1K
99222	Initial hospital care, per day, moderate complexity	1.8%	25	25	$462.60
93880		1.5%	33	30	$397.78
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	18	17	$301.84

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.