Physician
Bolton, Paul
Bolton, Paul was paid $169K by Medicaid between Jan 2018 and Jan 2021, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoBOLTON, PAUL
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
33aNPI1265464978assigned 07/06/2006
33bProvider typePediatrics Physician
28Total paid$169K
24GClaims3,520
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#594 of 1,805
Median peer was paid$55K
This provider vs. median3.1×
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 | 1,073 | $53K | |
| 2019 | 1,538 | $68K | |
| 2020 | 852 | $46K | |
| 2021 | 57 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 1,091 | 964 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 27% | 604 | 544 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18% | 400 | 369 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.5% | 237 | 216 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 114 | 108 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 199 | 181 | $5K |
| 90670 | 2.8% | 155 | 140 | $5K | |
| 90686 | 2.0% | 406 | 375 | $3K | |
| 90698 | <1% | 84 | 77 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 131 | 119 | $2K |
| 90734 | <1% | 19 | 14 | $1K | |
| 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 | <1% | 13 | 13 | $948.61 |
4 more codes
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.