Sclamberg, Steven

Sclamberg, Steven was paid $122K by Medicaid between Mar 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoSCLAMBERG, STEVEN
SKOKIE, IL 60076

33aNPI1538112255assigned 05/17/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$122K

24GClaims3,321

24DCodes billed6

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#62 of 422

Median peer was paid$21K

This provider vs. median5.9×

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	38	$303.26
2019	45	$489.04
2020	171	$5K
2021	608	$23K
2022	889	$36K
2023	858	$30K
2024incomplete	712	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	54%	2,071	1,812	$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	27%	712	679	$34K
20610		7.8%	242	217	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.4%	197	192	$8K
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	3.5%	65	62	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	34	34	$658.78

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.