Gorton, Bryon
Gorton, Bryon was paid $53K by Medicaid between Jan 2018 and Feb 2022, across 4 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 45% of everything it billed.
33Billing provider infoGORTON, BRYON
O FALLON, IL 62269
O FALLON, IL 62269
33aNPI1366500910assigned 12/05/2006
33bProvider typeSpecialist
28Total paid$53K
24GClaims2,555
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Specialist providers in Illinois
Rank by total paid#119 of 273
Median peer was paid$32K
This provider vs. median1.6×
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 | 885 | $22K | |
| 2019 | 765 | $17K | |
| 2020 | 516 | $9K | |
| 2021 | 341 | $5K | |
| 2022 | 48 | $901.37 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 45% | 518 | 301 | $24K |
| 97597 | 42% | 1,522 | 835 | $22K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 486 | 337 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | 22 | $318.66 |
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.