Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Malvar, Thomas

Malvar, Thomas was paid $78K by Medicaid between Mar 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoMALVAR, THOMAS
CHICAGO, IL 60657
33aNPI1528089083assigned 07/21/2006
33bProvider typeUrology Physician
28Total paid$78K
24GClaims4,643
24DCodes billed9
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers

Next to other Urology Physician providers in Illinois

Rank by total paid#24 of 219
Median peer was paid$5K
This provider vs. median15×

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$2.0K$4.0K2018201920202021202220232024
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
2018300$5K
2019474$11K
2020606$11K
20211,010$15K
2022733$11K
2023815$12K
2024incomplete705$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50% 1,826 1,656 $39K
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 20% 667 600 $16K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 311 290 $10K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.4% 182 159 $4K
81002 3.9% 1,307 1,155 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.4% 145 100 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1.9% 32 27 $1K
51798 1.3% 143 131 $995.65
99221 1.2% 30 28 $955.32

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.