Physician
Lou, Michael
Lou, Michael was paid $7K by Medicaid between Aug 2020 and Apr 2023, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 71% of everything it billed.
33Billing provider infoLOU, MICHAEL
PALOS HEIGHTS, IL 60463
PALOS HEIGHTS, IL 60463
33aNPI1477915551assigned 03/28/2016
33bProvider typeInternal Medicine Physician
28Total paid$7K
24GClaims205
24DCodes billed3
24AFirst – last monthAug 2020 – Apr 2023
Compared with peers
Next to other Internal Medicine Physician providers in Illinois
Rank by total paid#2,705 of 3,722
Median peer was paid$26K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 57 | $2K | |
| 2021 | 58 | $2K | |
| 2022 | 32 | $503.16 | |
| 2023 | 58 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 71% | 137 | 39 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | 15% | 24 | 24 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 44 | 24 | $970.78 |
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.