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
CRESTWOOD, IL 60445
33aNPI1518952969assigned 09/13/2005
33bProvider typeEmergency Medicine Physician
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
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 | 1,956 | $68K | |
| 2019 | 1,759 | $67K | |
| 2020 | 354 | $22K | |
| 2021 | 830 | $59K | |
| 2022 | 1,462 | $77K | |
| 2023 | 923 | $51K | |
| 2024incomplete | 555 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.