Falls, Sylvia

Falls, Sylvia was paid $96K by Medicaid between May 2019 and Dec 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 53% of everything it billed.

33Billing provider infoFALLS, SYLVIA
ORLAND PARK, IL 60467

33aNPI1528231750assigned 04/09/2008

33bProvider typeHematology & Oncology Physician

28Total paid$96K

24GClaims2,095

24DCodes billed4

24AFirst – last monthMay 2019 – Dec 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in Illinois

Rank by total paid#55 of 285

Median peer was paid$31K

This provider vs. median3.1×

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
2019	76	$3K
2020	183	$6K
2021	317	$15K
2022	544	$26K
2023	592	$25K
2024incomplete	383	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	53%	1,145	438	$52K
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	42%	887	824	$41K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.6%	51	46	$3K
99254		<1%	12	12	$796.80

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.