Schlegel, Darryl

Schlegel, Darryl was paid $196K by Medicaid between Jan 2018 and Nov 2023, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 40% of everything it billed.

33Billing provider infoSCHLEGEL, DARRYL
MELROSE PARK, IL 60160

33aNPI1366444747assigned 08/15/2005

33bProvider typeEmergency Medicine Physician

28Total paid$196K

24GClaims4,368

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#793 of 1,980

Median peer was paid$150K

This provider vs. median1.3×

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	781	$29K
2019	1,619	$64K
2020	1,145	$58K
2021	687	$40K
2022	60	$2K
2023	76	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	40%	1,145	1,008	$78K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	30%	1,292	1,182	$59K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	24%	1,469	1,316	$46K
99282	Emergency department visit for the evaluation and management, low to moderate severity	3.5%	310	294	$7K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	1.4%	55	50	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	32	32	$985.95
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	29	25	$907.54
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	20	20	$469.20
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	16	16	$229.60

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.