Teplis, Carol

Teplis, Carol was paid $257K by Medicaid between Jan 2018 and Oct 2020, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoTEPLIS, CAROL
ELGIN, IL 60120

33aNPI1437208097assigned 01/10/2007

33bProvider typePediatrics Physician

28Total paid$257K

24GClaims7,126

24DCodes billed25

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#473 of 1,805

Median peer was paid$55K

This provider vs. median4.7×

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	2,963	$104K
2019	2,933	$106K
2020	1,230	$47K

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	39%	2,201	1,841	$99K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	19%	662	455	$50K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	14%	518	429	$35K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	10%	346	279	$26K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.3%	445	393	$11K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.6%	83	77	$7K
90686		1.6%	562	462	$4K
92587		1.5%	247	148	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.5%	245	140	$4K
90670		1.2%	271	217	$3K
96160		1.2%	252	191	$3K
90648		<1%	310	218	$2K

13 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	157	$2K
36415	Collection of venous blood by venipuncture	<1%	320	$1K
90734		<1%	52	$1K
96111		<1%	67	$948.20
90633		<1%	98	$853.13
90651		<1%	14	$740.93
90723		<1%	81	$670.15
96112		<1%	21	$651.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	27	$423.90
90715		<1%	12	$173.61
82465		<1%	15	$63.60
1003F		0%	81	$0.00
99177		0%	39	$0.00

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.