Pontikes, Theodote

Pontikes, Theodote was paid $121K by Medicaid between Jan 2018 and Feb 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoPONTIKES, THEODOTE
MAYWOOD, IL 60153

33aNPI1407023674assigned 05/15/2008

33bProvider typeChild & Adolescent Psychiatry Physician

28Total paid$121K

24GClaims1,790

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Child & Adolescent Psychiatry Physician providers in Illinois

Rank by total paid#31 of 80

Median peer was paid$86K

This provider vs. median1.4×

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	711	$34K
2019	693	$46K
2020	298	$29K
2021	13	$2K
2023	42	$5K
2024incomplete	33	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	71%	1,196	736	$85K
90838		28%	556	364	$34K
90836		1.2%	38	28	$1K

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.