Physician
Pontinen, Thomas
Pontinen, Thomas was paid $9K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoPONTINEN, THOMAS
DES PLAINES, IL 60016
DES PLAINES, IL 60016
33aNPI1467617514assigned 07/28/2008
33bProvider typeInterventional Pain Medicine Physician
28Total paid$9K
24GClaims2,038
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Illinois
Rank by total paid#19 of 39
Median peer was paid$8K
This provider vs. median1.1×
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 | 372 | $694.95 | |
| 2019 | 373 | $933.02 | |
| 2020 | 408 | $2K | |
| 2021 | 293 | $1K | |
| 2022 | 244 | $2K | |
| 2023 | 148 | $1K | |
| 2024incomplete | 200 | $2K |
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 | 94% | 1,886 | 1,791 | $8K |
| 20610 | 5.1% | 50 | 38 | $457.12 | |
| 77002 | 1.3% | 48 | 37 | $113.70 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 54 | 41 | $5.27 |
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.