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
EVANSTON, IL 60201
33aNPI1285846162assigned 05/04/2007
33bProvider typeEmergency Medicine Physician
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
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 | 361 | $13K | |
| 2019 | 627 | $23K | |
| 2020 | 236 | $10K | |
| 2021 | 418 | $25K | |
| 2022 | 380 | $25K | |
| 2023 | 366 | $26K | |
| 2024incomplete | 265 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.