Guard, Gregory

Guard, Gregory was paid $267K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99284, emergency room visit (serious) — 31% of everything it billed.

33Billing provider infoGUARD, GREGORY
BLOOMINGTON, IL 61701

33aNPI1528026515assigned 05/02/2006

33bProvider typeEmergency Medicine Physician

28Total paid$267K

24GClaims5,891

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#537 of 1,980

Median peer was paid$150K

This provider vs. median1.8×

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	745	$29K
2019	1,740	$67K
2020	1,918	$83K
2021	717	$42K
2022	553	$31K
2023	136	$8K
2024incomplete	82	$6K

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	31%	1,639	1,472	$82K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	26%	2,128	1,913	$70K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	25%	950	843	$67K
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	15%	911	758	$39K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.8%	52	38	$5K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	179	142	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	14	14	$932.20
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	18	13	$513.87

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.