Physician
Gilmore, Brendan
Gilmore, Brendan was paid $305K by Medicaid between Sep 2020 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoGILMORE, BRENDAN
CHICAGO, IL 60625
CHICAGO, IL 60625
33aNPI1619396231assigned 04/10/2014
33bProvider typeHematology & Oncology Physician
28Total paid$305K
24GClaims6,223
24DCodes billed8
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in Illinois
Rank by total paid#6 of 285
Median peer was paid$31K
This provider vs. median9.8×
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 | |
|---|---|---|---|
| 2020 | 437 | $18K | |
| 2021 | 1,338 | $56K | |
| 2022 | 1,498 | $72K | |
| 2023 | 1,508 | $73K | |
| 2024incomplete | 1,442 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 64% | 3,563 | 3,026 | $196K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 18% | 1,430 | 532 | $55K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 565 | 430 | $32K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 342 | 165 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 158 | 154 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 38 | 38 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | 14 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 113 | 93 | $370.79 |
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.