Western, Gary

Western, Gary was paid $63K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoWESTERN, GARY
SPRINGFIELD, IL 62702

33aNPI1457462558assigned 08/31/2006

33bProvider typeSports Medicine (Family Medicine) Physician

28Total paid$63K

24GClaims1,745

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Sports Medicine (Family Medicine) Physician providers in Illinois

Rank by total paid#15 of 51

Median peer was paid$44K

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	451	$14K
2019	539	$18K
2020	209	$9K
2021	262	$9K
2022	154	$6K
2023	71	$3K
2024incomplete	59	$3K

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	52%	1,048	890	$32K
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	45%	639	535	$28K
20610		1.9%	33	25	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.5%	25	25	$945.99

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.