Heroux, Alain

Heroux, Alain was paid $228K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 53% of everything it billed.

33Billing provider infoHEROUX, ALAIN
MAYWOOD, IL 60153

33aNPI1609945195assigned 11/07/2006

33bProvider typeInternal Medicine Physician

28Total paid$228K

24GClaims6,456

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#321 of 3,722

Median peer was paid$26K

This provider vs. median8.8×

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	428	$8K
2019	320	$10K
2020	1,148	$34K
2021	1,584	$63K
2022	1,281	$45K
2023	760	$26K
2024incomplete	935	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	53%	3,083	577	$120K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	21%	1,249	1,068	$47K
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	19%	1,293	1,184	$43K
93750		7.5%	831	246	$17K

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.