Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Vandalia › NPI 1245323898
Physician

Butts, Robert

Butts, Robert was paid $41K by Medicaid between Apr 2018 and Dec 2020, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoBUTTS, ROBERT
VANDALIA, IL 62471
33aNPI1245323898assigned 10/02/2006
28Total paid$41K
24GClaims780
24DCodes billed3
24AFirst – last monthApr 2018 – Dec 2020
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,492 of 2,947
Median peer was paid$43K
This provider vs. median1.0×

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$2.0K$4.0K2018201920202021202220232024
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
201895$4K
2019291$17K
2020394$21K
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 76% 518 440 $32K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 213 175 $9K
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 1.2% 49 45 $500.57

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.