Staton, Thomas

Staton, Thomas was paid $194K by Medicaid between Jan 2018 and May 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoSTATON, THOMAS
METROPOLIS, IL 62960

33aNPI1306825500assigned 01/16/2006

33bProvider typeFamily Medicine Physician

28Total paid$194K

24GClaims4,946

24DCodes billed6

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#576 of 2,947

Median peer was paid$43K

This provider vs. median4.6×

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	960	$36K
2019	1,117	$37K
2020	926	$38K
2021	717	$34K
2022	564	$22K
2023	532	$23K
2024incomplete	130	$5K

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	36%	2,138	1,927	$71K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	33%	1,098	952	$63K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	16%	1,031	888	$31K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	14%	622	566	$28K
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	<1%	43	40	$1K
90686		<1%	14	12	$88.92

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.