Physician
Sterling, Leigh
Sterling, Leigh was paid $737K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoSTERLING, LEIGH
TINLEY PARK, IL 60487
TINLEY PARK, IL 60487
33aNPI1326225954assigned 01/25/2008
33bProvider typePediatrics Physician
28Total paid$737K
24GClaims21,781
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#199 of 1,805
Median peer was paid$55K
This provider vs. median13×
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 | 6,094 | $213K | |
| 2019 | 8,578 | $281K | |
| 2020 | 5,904 | $179K | |
| 2021 | 274 | $13K | |
| 2022 | 489 | $26K | |
| 2023 | 318 | $17K | |
| 2024incomplete | 124 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 3,955 | 3,366 | $264K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 3,491 | 2,986 | $156K |
| 87999 | 10% | 949 | 787 | $77K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 528 | 493 | $39K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.2% | 1,349 | 900 | $38K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 2,107 | 1,617 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 476 | 436 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 316 | 314 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 170 | 161 | $13K |
| 92558 | 1.8% | 1,152 | 1,010 | $13K | |
| 83655 | 1.6% | 1,068 | 810 | $12K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 566 | 482 | $9K |
19 more codes
| 36416 | <1% | 1,141 | $4K | |
| 96127 | <1% | 285 | $4K | |
| 85018 | <1% | 1,683 | $4K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 25 | $3K |
| 90670 | <1% | 442 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 190 | $2K |
| 99173 | <1% | 307 | $2K | |
| 81003 | <1% | 869 | $2K | |
| 90686 | <1% | 209 | $1K | |
| 90698 | <1% | 130 | $977.76 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 13 | $975.00 |
| 87807 | <1% | 90 | $885.28 | |
| 90633 | <1% | 68 | $409.60 | |
| 90680 | <1% | 58 | $364.80 | |
| 90734 | <1% | 32 | $204.80 | |
| 90685 | <1% | 14 | $83.20 | |
| 90715 | <1% | 13 | $83.20 | |
| 90688 | <1% | 13 | $83.20 | |
| 96161 | 0% | 72 | $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.