Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Crestwood › NPI 1518952969
Physician

Werner, Roy

Werner, Roy was paid $381K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99284, emergency room visit (serious) — 34% of everything it billed.

33Billing provider infoWERNER, ROY
CRESTWOOD, IL 60445
33aNPI1518952969assigned 09/13/2005
28Total paid$381K
24GClaims7,839
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#281 of 1,980
Median peer was paid$150K
This provider vs. median2.5×

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$10K$20K2018201920202021202220232024
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
20181,956$68K
20191,759$67K
2020354$22K
2021830$59K
20221,462$77K
2023923$51K
2024incomplete555$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 34% 2,351 2,217 $130K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 20% 1,143 1,078 $76K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 20% 2,198 2,083 $75K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14% 422 373 $52K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 8.1% 451 428 $31K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 2.7% 450 427 $10K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.3% 579 428 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 230 228 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 15 15 $290.40

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.