Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Herrin › NPI 1457501926
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
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

$0$1.0K$2.0K2018201920202021202220232024
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
2018322$7K
2019243$6K
2020165$4K
2021302$9K
2022175$6K
2023142$4K
2024incomplete88$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.