Opilka, John

Opilka, John was paid $26K by Medicaid between Jan 2020 and Nov 2024, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 63% of everything it billed.

33Billing provider infoOPILKA, JOHN
ALTAMONT, IL 62411

33aNPI1497715056assigned 03/27/2006

33bProvider typeFamily Medicine Physician

28Total paid$26K

24GClaims1,948

24DCodes billed4

24AFirst – last monthJan 2020 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,721 of 2,947

Median peer was paid$43K

This provider vs. median0.6×

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	51	$115.04
2021	456	$6K
2022	459	$6K
2023	508	$6K
2024incomplete	474	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	63%	1,587	1,514	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	252	222	$7K
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	9.0%	93	86	$2K
99239	Hospital discharge day management, more than 30 minutes	<1%	16	15	$128.16

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.