Physician
Holden, John
Holden, John was paid $332K by Medicaid between Jan 2018 and Aug 2021, across 14 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 32% of everything it billed.
33Billing provider infoHOLDEN, JOHN
DOWNERS GROVE, IL 60515
DOWNERS GROVE, IL 60515
33aNPI1356341846assigned 07/26/2005
33bProvider typeGastroenterology Physician
28Total paid$332K
24GClaims3,980
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Gastroenterology Physician providers in Illinois
Rank by total paid#25 of 370
Median peer was paid$16K
This provider vs. median21×
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 | 953 | $56K | |
| 2019 | 1,854 | $153K | |
| 2020 | 844 | $81K | |
| 2021 | 329 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 32% | 633 | 604 | $106K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 31% | 546 | 507 | $103K |
| 99243 | 12% | 540 | 358 | $40K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.8% | 1,353 | 758 | $23K |
| 99254 | 6.3% | 357 | 313 | $21K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.1% | 83 | 76 | $20K |
| 43235 | 1.8% | 38 | 38 | $6K | |
| 44361 | 1.6% | 23 | 21 | $5K | |
| 99242 | 1.2% | 69 | 37 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 239 | 232 | $2K |
| 99253 | <1% | 16 | 15 | $743.20 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 52 | 51 | $686.26 |
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.