Physician
Arnold, Don
Arnold, Don was paid $38K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoARNOLD, DON
HERRIN, IL 62948
HERRIN, IL 62948
33aNPI1457501926assigned 09/22/2008
33bProvider typeUrology Physician
28Total paid$38K
24GClaims1,437
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urology Physician providers in Illinois
Rank by total paid#43 of 219
Median peer was paid$5K
This provider vs. median7.3×
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 | 322 | $7K | |
| 2019 | 243 | $6K | |
| 2020 | 165 | $4K | |
| 2021 | 302 | $9K | |
| 2022 | 175 | $6K | |
| 2023 | 142 | $4K | |
| 2024incomplete | 88 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 63% | 762 | 734 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 617 | 603 | $13K |
| 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 | 2.0% | 12 | 12 | $773.12 |
| 74420 | 1.1% | 30 | 26 | $422.16 | |
| 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% | 16 | 13 | $363.24 |
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.