Physician
Giroux, John
Giroux, John was paid $1.23M by Medicaid between Jan 2018 and Jun 2022, across 16 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 19% of everything it billed.
33Billing provider infoGIROUX, JOHN
ALTON, IL 62002
ALTON, IL 62002
33aNPI1396774485assigned 07/01/2006
33bProvider typePediatrics Physician
28Total paid$1.23M
24GClaims10,947
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#112 of 1,805
Median peer was paid$55K
This provider vs. median22×
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 | 5,337 | $622K | |
| 2019 | 4,019 | $445K | |
| 2020 | 1,078 | $142K | |
| 2021 | 300 | $12K | |
| 2022 | 213 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 1,385 | 1,367 | $234K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 1,432 | 1,400 | $218K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17% | 1,339 | 1,315 | $215K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,537 | 1,490 | $189K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.8% | 704 | 682 | $120K |
| 92551 | 5.7% | 1,644 | 1,605 | $71K | |
| 99173 | 5.4% | 881 | 863 | $67K | |
| 99381 | 3.0% | 179 | 179 | $37K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.6% | 826 | 687 | $32K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.1% | 535 | 461 | $14K |
| 90670 | 1.0% | 277 | 273 | $13K | |
| 90681 | <1% | 51 | 51 | $7K |
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.