Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Park Ridge › NPI 1457343931
Physician

Hamilton, John

Hamilton, John was paid $11.75M by Medicaid between Jan 2018 and Nov 2024, across 193 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 13% of everything it billed.

33Billing provider infoHAMILTON, JOHN
PARK RIDGE, IL 60068
33aNPI1457343931assigned 08/19/2005
28Total paid$11.75M
24GClaims1,951,147
24DCodes billed193
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Illinois

Rank by total paid#3 of 398
Median peer was paid$66K
This provider vs. median179×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
2018343,320$1.47M
2019364,595$1.59M
2020362,500$1.69M
2021311,614$2.47M
2022323,546$2.86M
2023245,459$1.66M
2024incomplete113$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 13% 26,149 18,163 $1.56M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 9.7% 15,152 14,339 $1.14M
80053 Comprehensive metabolic panel 7.5% 176,393 93,320 $886K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 5.1% 3,563 3,085 $598K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5.1% 209,011 108,562 $598K
83735 3.7% 116,730 34,600 $439K
80048 Basic metabolic panel (calcium, ionized) 3.4% 98,324 36,384 $399K
83880 2.8% 32,721 15,807 $333K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.4% 11,835 10,425 $281K
82803 2.1% 33,541 14,343 $246K
85027 1.8% 74,651 31,500 $217K
82330 1.8% 30,203 5,574 $211K
181 more codes
87641 1.6% 8,568 $194K
83605 1.6% 42,793 $186K
82805 1.6% 25,677 $185K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.5% 7,992 $179K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.5% 7,939 $178K
87040 1.5% 22,242 $177K
84484 1.4% 42,600 $165K
85730 1.3% 48,674 $158K
84100 1.2% 63,934 $143K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.1% 5,108 $134K
84443 Thyroid stimulating hormone (TSH) 1.1% 16,133 $131K
87086 Culture, bacterial; quantitative colony count, urine 1.1% 24,480 $128K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1.1% 5,080 $126K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.1% 3,617 $125K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1.0% 2,422 $118K
85610 <1% 54,174 $108K
86901 <1% 47,092 $108K
83690 <1% 25,336 $88K
86900 <1% 47,121 $80K
88307 <1% 1,471 $73K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,184 $73K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,163 $72K
86850 <1% 23,023 $67K
81001 <1% 44,535 $64K
84703 <1% 18,154 $63K
87507 <1% 389 $59K
82375 <1% 25,436 $54K
84132 <1% 28,778 $53K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,725 $49K
85379 <1% 12,393 $49K
83615 <1% 18,520 $49K
86140 <1% 20,338 $47K
87493 <1% 1,775 $39K
83050 <1% 27,215 $37K
87186 <1% 5,761 $37K
82728 <1% 9,392 $36K
80202 <1% 5,296 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,519 $36K
87075 <1% 5,256 $34K
84295 <1% 20,975 $33K
85384 <1% 10,026 $32K
82248 <1% 15,414 $32K
82247 <1% 13,136 $30K
83036 Hemoglobin; glycosylated (A1C) <1% 9,494 $28K
85018 <1% 28,668 $28K
82607 <1% 4,552 $27K
84439 <1% 6,279 $27K
80061 Lipid panel <1% 8,265 $26K
84702 <1% 6,055 $26K
82550 <1% 8,210 $26K
87070 <1% 7,790 $25K
87340 <1% 3,594 $24K
82746 <1% 4,119 $23K
83550 <1% 5,265 $22K
84145 <1% 5,684 $21K
87210 <1% 8,520 $19K
83970 <1% 1,224 $19K
87205 <1% 9,919 $18K
87088 <1% 3,061 $18K
82077 <1% 1,630 $17K
82140 <1% 4,185 $17K
86706 <1% 2,398 $17K
82570 <1% 7,119 $17K
86803 <1% 1,939 $16K
86665 <1% 1,382 $16K
80074 <1% 875 $16K
87081 <1% 5,605 $16K
86235 <1% 941 $16K
86704 <1% 1,896 $15K
85046 <1% 5,297 $14K
87077 <1% 5,195 $14K
80076 <1% 3,611 $13K
87015 <1% 3,266 $12K
86870 <1% 1,629 $12K
81003 <1% 11,164 $12K
85652 <1% 8,979 $12K
89051 <1% 3,553 $11K
88304 <1% 645 $11K
86077 <1% 409 $11K
87806 <1% 1,150 $11K
80197 <1% 2,099 $11K
86920 <1% 3,459 $11K
82533 <1% 1,363 $9K
82565 <1% 4,542 $9K
87102 <1% 2,498 $9K
84478 <1% 4,128 $9K
84481 <1% 1,778 $9K
83655 <1% 1,432 $8K
87116 <1% 1,347 $8K
88342 <1% 672 $8K
80143 <1% 666 $8K
80179 <1% 661 $8K
82150 <1% 2,119 $8K
86038 <1% 966 $8K
86480 <1% 292 $8K
82784 <1% 1,343 $7K
85014 <1% 7,557 $7K
86880 <1% 2,217 $7K
83540 <1% 2,151 $6K
87206 <1% 2,677 $6K
86592 <1% 3,188 $6K
84156 <1% 5,623 $6K
80164 <1% 1,361 $6K
84300 <1% 2,758 $6K
82947 <1% 3,678 $6K
82962 <1% 5,597 $5K
81025 <1% 2,829 $5K
87483 <1% 30 $5K
87807 <1% 1,135 $5K
86985 <1% 1,271 $5K
84550 <1% 2,527 $5K
83930 <1% 1,780 $4K
0240U <1% 54 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 167 $4K
86762 <1% 858 $4K
87449 <1% 448 $3K
82945 <1% 2,014 $3K
82010 <1% 1,136 $3K
83516 <1% 399 $3K
83010 <1% 656 $3K
86922 <1% 309 $3K
83935 <1% 1,130 $3K
84157 <1% 2,190 $3K
86308 <1% 1,134 $3K
87497 <1% 109 $2K
86945 <1% 730 $2K
86769 <1% 90 $2K
86225 <1% 391 $2K
87653 <1% 79 $2K
84520 <1% 1,154 $2K
85520 <1% 449 $2K
87045 <1% 266 $2K
80177 <1% 291 $1K
82105 <1% 134 $1K
80050 General health panel <1% 116 $1K
87427 <1% 146 $817.56
84540 <1% 416 $732.11
89060 <1% 173 $704.15
82270 <1% 530 $662.15
87899 <1% 77 $637.26
86160 <1% 125 $613.02
87640 <1% 28 $549.84
86780 <1% 62 $531.04
86146 <1% 40 $505.40
85461 <1% 178 $479.83
87046 <1% 308 $477.56
82043 <1% 218 $421.33
86147 <1% 62 $416.82
82272 <1% 393 $388.18
85240 <1% 74 $383.84
82378 <1% 66 $369.05
86039 <1% 66 $347.47
86923 <1% 4,368 $307.75
85670 <1% 127 $298.16
86644 <1% 45 $285.53
84153 <1% 45 $283.22
87209 <1% 31 $225.90
80185 <1% 33 $214.17
87147 <1% 130 $204.48
85613 <1% 53 $186.03
86141 <1% 22 $177.45
80184 <1% 38 $172.77
85347 <1% 64 $166.37
87071 <1% 336 $160.38
84436 <1% 49 $157.92
82652 <1% 14 $112.42
87177 <1% 32 $111.60
84460 <1% 54 $109.66
84134 <1% 38 $105.38
82103 <1% 21 $93.03
86431 <1% 26 $90.50
84681 <1% 15 $89.74
80162 <1% 12 $77.88
84133 <1% 31 $68.46
87176 <1% 14 $65.45
82040 <1% 29 $58.50
82042 <1% 21 $48.93
82436 <1% 16 $41.82
80320 <1% 4,593 $22.50
87076 <1% 49 $17.00
80329 <1% 2,135 $13.50

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.