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

Houston, John

Houston, John was paid $321K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoHOUSTON, JOHN
CHICAGO, IL 60614
33aNPI1306831938assigned 09/20/2005
33bProvider typeUrology Physician
28Total paid$321K
24GClaims4,835
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urology Physician providers in Illinois

Rank by total paid#4 of 219
Median peer was paid$5K
This provider vs. median61×

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$20K2018201920202021202220232024
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
2018533$19K
2019812$56K
2020906$49K
2021683$43K
2022720$50K
2023560$47K
2024incomplete621$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 2,407 2,052 $155K
99244 Office or other outpatient consultation, moderate to high complexity 28% 734 630 $90K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 996 796 $39K
54360 3.9% 18 12 $12K
99243 3.2% 118 108 $10K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.9% 172 136 $9K
99354 <1% 26 14 $2K
54161 <1% 18 16 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 12 $343.70
99051 0% 332 272 $0.00

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.