Hamilton, Joni

Hamilton, Joni was paid $13K by Medicaid between Jan 2018 and May 2021, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoHAMILTON, JONI
ALGONQUIN, IL 60102

33aNPI1518062736assigned 09/13/2006

33bProvider typePediatrics Physician

28Total paid$13K

24GClaims260

24DCodes billed7

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#1,280 of 1,805

Median peer was paid$55K

This provider vs. median0.2×

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	62	$4K
2019	50	$4K
2020	135	$4K
2021	13	$615.25

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	86%	154	119	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	31	30	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.4%	14	14	$180.32
90686		<1%	19	19	$121.60
3008F		0%	15	15	$0.00
1003F		0%	15	15	$0.00
4274F		0%	12	12	$0.00

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.