Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › East Saint Louis › NPI 1285720508
Physician

Ross, Theodore

Ross, Theodore was paid $81K by Medicaid between Jan 2021 and Sep 2023, across 9 billing codes. Its largest line is 0011A, — 41% of everything it billed.

33Billing provider infoROSS, THEODORE
EAST SAINT LOUIS, IL 62207
33aNPI1285720508assigned 10/05/2006
28Total paid$81K
24GClaims2,147
24DCodes billed9
24AFirst – last monthJan 2021 – Sep 2023
Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#941 of 3,722
Median peer was paid$26K
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

$0$10K$20K$30K2018201920202021202220232024
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
20211,853$68K
202259$2K
2023235$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0011A 41% 982 885 $34K
0012A 37% 745 722 $30K
99341 6.9% 135 134 $6K
99347 6.2% 100 81 $5K
0031A 2.7% 58 48 $2K
0004A 2.2% 44 44 $2K
0001A 1.6% 32 32 $1K
0064A 1.5% 36 29 $1K
0072A <1% 15 15 $627.82

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.