Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Bethalto › NPI 1598878373
Physician

Harms, Craig

Harms, Craig was paid $114K by Medicaid between Apr 2018 and Jan 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoHARMS, CRAIG
BETHALTO, IL 62010
33aNPI1598878373assigned 08/16/2006
28Total paid$114K
24GClaims2,752
24DCodes billed11
24AFirst – last monthApr 2018 – Jan 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#883 of 2,947
Median peer was paid$43K
This provider vs. median2.7×

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$10K$20K2018201920202021202220232024
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
201817$1K
201916$1K
2020215$8K
20211,947$75K
2022505$25K
202340$3K
2024incomplete12$789.69
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 774 651 $36K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22% 698 563 $25K
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 15% 244 225 $18K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 311 233 $15K
87428 7.2% 134 115 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.2% 307 239 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.8% 96 79 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.3% 102 89 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.2% 58 57 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 15 15 $769.65
3008F 0% 13 13 $0.00

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.