Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Bloomingdale › NPI 1568637866
Physician

Botros, Samuel

Botros, Samuel was paid $1.95M by Medicaid between Jan 2018 and Jul 2023, across 22 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 29% of everything it billed.

33Billing provider infoBOTROS, SAMUEL
BLOOMINGDALE, IL 60108
33aNPI1568637866assigned 04/28/2008
28Total paid$1.95M
24GClaims28,656
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#9 of 911
Median peer was paid$41K
This provider vs. median48×

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$20K$40K$60K2018201920202021202220232024
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
20184,188$300K
20195,541$409K
20205,798$369K
20215,317$371K
20225,110$306K
20232,702$190K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 29% 624 612 $568K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 7,156 5,056 $333K
0502F 11% 4,670 2,513 $208K
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 7.1% 1,916 1,540 $139K
76818 5.5% 1,794 722 $108K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5.0% 1,441 1,294 $97K
76830 Ultrasound, transvaginal 4.8% 1,381 1,281 $93K
59025 Fetal non-stress test 4.6% 2,698 916 $89K
76820 3.9% 1,091 412 $76K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3.0% 701 678 $59K
59514 2.7% 49 49 $52K
H1000 Prenatal care, at-risk assessment 1.8% 2,472 2,073 $36K
10 more codes
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.5% 402 $28K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.3% 600 $25K
96160 1.0% 1,421 $20K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 59 $4K
99385 <1% 27 $3K
59430 <1% 34 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 37 $3K
0500F <1% 31 $1K
99204 Doctor's office visit, new patient (more involved) <1% 15 $1K
96127 <1% 37 $236.76

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.