Physician
Bolton, Susan
Bolton, Susan was paid $51K by Medicaid between Feb 2018 and Oct 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoBOLTON, SUSAN
CHAMPAIGN, IL 61822
CHAMPAIGN, IL 61822
33aNPI1336156884assigned 08/01/2006
33bProvider typePediatrics Physician
28Total paid$51K
24GClaims1,060
24DCodes billed13
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#920 of 1,805
Median peer was paid$55K
This provider vs. median0.9×
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 | 117 | $6K | |
| 2019 | 132 | $6K | |
| 2020 | 219 | $8K | |
| 2021 | 224 | $9K | |
| 2022 | 148 | $9K | |
| 2023 | 139 | $7K | |
| 2024incomplete | 81 | $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 | 27% | 298 | 262 | $14K |
| 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 | 19% | 141 | 134 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 100 | 95 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 80 | 77 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 66 | 63 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.5% | 45 | 41 | $4K |
| 90686 | 4.6% | 211 | 200 | $2K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 3.9% | 14 | 14 | $2K |
| 90656 | <1% | 19 | 19 | $355.80 | |
| 90698 | <1% | 38 | 38 | $243.20 | |
| 90670 | <1% | 24 | 24 | $153.60 | |
| 90633 | <1% | 12 | 12 | $108.83 |
1 more codes
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $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.