Physician
Hoffman, Michael
Hoffman, Michael was paid $65K by Medicaid between Jan 2018 and Dec 2019, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoHOFFMAN, MICHAEL
ELMHURST, IL 60126
ELMHURST, IL 60126
33aNPI1396796447assigned 05/13/2006
33bProvider typePediatrics Physician
28Total paid$65K
24GClaims1,428
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#859 of 1,805
Median peer was paid$55K
This provider vs. median1.2×
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 | 599 | $27K | |
| 2019 | 829 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 795 | 669 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 151 | 119 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 170 | 143 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 48 | 41 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 39 | 38 | $3K |
| 90686 | 2.0% | 151 | 147 | $1K | |
| 90670 | 1.1% | 74 | 65 | $694.24 |
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.