Settecase, Michael

Settecase, Michael was paid $12K by Medicaid between Jan 2018 and May 2023, across 7 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 51% of everything it billed.

33Billing provider infoSETTECASE, MICHAEL
OLYMPIA FIELDS, IL 60461

33aNPI1447368055assigned 08/25/2006

33bProvider typeFamily Medicine Physician

28Total paid$12K

24GClaims1,447

24DCodes billed7

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#2,048 of 2,947

Median peer was paid$43K

This provider vs. median0.3×

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	395	$3K
2019	466	$3K
2020	507	$4K
2021	53	$1K
2022	14	$173.33
2023	12	$500.65

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	51%	725	577	$6K
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	12%	144	120	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	12%	200	187	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	222	193	$1K
99306	Prolong nursin fac eval 15m	11%	54	49	$1K
99307		2.1%	52	41	$251.60
36415	Collection of venous blood by venipuncture	0%	50	48	$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.