Physician
Wilson, John
Wilson, John was paid $649K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 45% of everything it billed.
33Billing provider infoWILSON, JOHN
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
33aNPI1548243678assigned 11/22/2005
33bProvider typeNeurology Physician
28Total paid$649K
24GClaims20,773
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Illinois
Rank by total paid#4 of 371
Median peer was paid$18K
This provider vs. median36×
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 | 1,082 | $12K | |
| 2019 | 1,567 | $26K | |
| 2020 | 3,575 | $102K | |
| 2021 | 3,560 | $118K | |
| 2022 | 4,153 | $141K | |
| 2023 | 3,673 | $132K | |
| 2024incomplete | 3,163 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 45% | 4,068 | 3,779 | $292K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 37% | 10,064 | 3,253 | $239K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 12% | 4,782 | 1,757 | $81K |
| 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 | 2.8% | 1,001 | 932 | $18K |
| 95816 | 2.6% | 811 | 744 | $17K | |
| 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% | 28 | 26 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 19 | 17 | $958.23 |
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.