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

Klein, Tom

Klein, Tom was paid $434K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 41% of everything it billed.

33Billing provider infoKLEIN, TOM
RIVERWOODS, IL 60015
33aNPI1326094194assigned 05/25/2006
28Total paid$434K
24GClaims14,694
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#153 of 3,722
Median peer was paid$26K
This provider vs. median17×

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
20183,742$82K
20194,905$107K
20201,553$52K
20211,389$63K
20221,597$67K
2023586$25K
2024incomplete922$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 41% 7,428 6,202 $179K
99336 21% 2,383 1,928 $91K
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 16% 1,103 988 $70K
99349 5.9% 458 391 $26K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.0% 816 434 $22K
99305 3.3% 433 400 $14K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.7% 365 258 $7K
99424 1.6% 452 452 $7K
99315 1.2% 198 173 $5K
99222 Initial hospital care, per day, moderate complexity 1.1% 122 115 $5K
99239 Hospital discharge day management, more than 30 minutes <1% 130 119 $4K
99308 Subsequent nursing facility care, per day, straightforward <1% 573 522 $3K
4 more codes
99318 <1% 28 $577.50
99490 Ccm add 20min <1% 25 $250.00
99307 <1% 18 $236.80
99358 Prolong nursin fac eval 15m <1% 162 $158.72

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.