Debartolo, Merrit

Debartolo, Merrit was paid $59K by Medicaid between Jan 2018 and Oct 2023, across 7 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 40% of everything it billed.

33Billing provider infoDEBARTOLO, MERRIT
WOODSTOCK, IL 60098

33aNPI1427379189assigned 06/17/2010

33bProvider typeUrology Physician

28Total paid$59K

24GClaims1,457

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Urology Physician providers in Illinois

Rank by total paid#32 of 219

Median peer was paid$5K

This provider vs. median11×

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	423	$17K
2019	546	$23K
2020	334	$13K
2021	88	$2K
2022	27	$990.48
2023	39	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	40%	208	179	$23K
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	37%	636	579	$22K
51798		12%	487	422	$7K
99243		5.8%	48	40	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	3.5%	37	27	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	12	12	$459.55
51736		<1%	29	26	$350.05

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.