Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

MC Cool, Peter

MC Cool, Peter was paid $179K by Medicaid between Jan 2018 and Jul 2022, across 5 billing codes. Its largest line is 99283, emergency room visit (moderate) — 38% of everything it billed.

33Billing provider infoMC COOL, PETER
LAKE FOREST, IL 60045
33aNPI1306044847assigned 07/05/2007
28Total paid$179K
24GClaims4,930
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#860 of 1,980
Median peer was paid$150K
This provider vs. median1.2×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,841$68K
20191,235$38K
20201,285$42K
2021474$25K
202295$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 38% 2,229 1,957 $68K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 1,178 1,018 $49K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 26% 786 713 $46K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.0% 633 539 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 104 98 $838.99

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.