Greene, Phillip

Greene, Phillip was paid $48K by Medicaid between Jan 2018 and Jul 2020, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 50% of everything it billed.

33Billing provider infoGREENE, PHILLIP
BREESE, IL 62230

33aNPI1346248481assigned 07/12/2005

33bProvider typeFamily Medicine Physician

28Total paid$48K

24GClaims1,061

24DCodes billed7

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,405 of 2,947

Median peer was paid$43K

This provider vs. median1.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (02/20/2025).

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	543	$7K
2019	123	$10K
2020	395	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	50%	252	252	$24K
S9088	Services provided in an urgent care center (list in addition to code for service)	25%	170	169	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	162	150	$7K
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	9.9%	80	80	$5K
99310	Prolong nursin fac eval 15m	<1%	320	319	$351.68
99051		<1%	16	16	$171.20
99308	Subsequent nursing facility care, per day, straightforward	<1%	61	50	$149.24

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.