Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Evanston › NPI 1285846162
Physician

Rice, Clifford

Rice, Clifford was paid $145K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 48% of everything it billed.

33Billing provider infoRICE, CLIFFORD
EVANSTON, IL 60201
33aNPI1285846162assigned 05/04/2007
28Total paid$145K
24GClaims2,653
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,016 of 1,980
Median peer was paid$150K
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$4.0K$6.0K2018201920202021202220232024
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
2018361$13K
2019627$23K
2020236$10K
2021418$25K
2022380$25K
2023366$26K
2024incomplete265$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 48% 951 889 $70K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 35% 935 881 $50K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 740 697 $25K
93042 <1% 27 27 $68.04

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.