Roberts, Thomas

Roberts, Thomas was paid $636K by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoROBERTS, THOMAS
PALOS HEIGHTS, IL 60463

33aNPI1275824625assigned 04/20/2011

33bProvider typePediatrics Physician

28Total paid$636K

24GClaims18,489

24DCodes billed34

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#238 of 1,805

Median peer was paid$55K

This provider vs. median12×

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	8,668	$289K
2019	8,397	$272K
2020	132	$3K
2021	447	$15K
2022	365	$30K
2023	178	$9K
2024incomplete	302	$19K

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	33%	4,524	3,805	$208K
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	17%	1,450	1,282	$108K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.3%	790	675	$59K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.6%	635	567	$48K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.5%	700	584	$48K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.5%	422	373	$35K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.4%	1,740	1,468	$28K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.5%	1,008	907	$16K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	2.1%	92	86	$13K
96127		1.8%	798	701	$12K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.5%	540	230	$10K
99173		1.1%	1,048	966	$7K

22 more codes

90651		1.1%	148	$7K
90670		<1%	500	$6K
90686		<1%	466	$5K
90734		<1%	122	$4K
90648		<1%	518	$4K
83655		<1%	317	$4K
90723		<1%	337	$3K
90680		<1%	286	$3K
90633		<1%	276	$2K
36416		<1%	431	$2K
90716		<1%	115	$1K
90707		<1%	113	$1K
85018		<1%	406	$939.60
90685		<1%	88	$628.02
90715		<1%	33	$469.36
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	23	$362.50
90656		<1%	20	$338.13
81003		<1%	132	$289.94
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	116	$7.50
99072		0%	191	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	76	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	28	$0.00

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.