Caraballo, Thomas

Caraballo, Thomas was paid $476K by Medicaid between Jul 2018 and Dec 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.

33Billing provider infoCARABALLO, THOMAS
AURORA, IL 60506

33aNPI1558751560assigned 01/28/2015

33bProvider typeEmergency Medicine Physician

28Total paid$476K

24GClaims8,110

24DCodes billed6

24AFirst – last monthJul 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#166 of 1,980

Median peer was paid$150K

This provider vs. median3.2×

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	613	$24K
2019	1,973	$82K
2020	1,678	$88K
2021	1,180	$74K
2022	922	$60K
2023	763	$62K
2024incomplete	981	$86K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	53%	3,262	2,970	$253K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	31%	2,621	2,354	$148K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	16%	2,177	1,872	$74K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	12	12	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	13	12	$93.86
93042		<1%	25	24	$5.98

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.