Tuschen, James

Tuschen, James was paid $20K by Medicaid between Jan 2018 and Sep 2019, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoTUSCHEN, JAMES
LOVES PARK, IL 61111

33aNPI1639195514assigned 07/14/2006

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$20K

24GClaims438

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Illinois

Rank by total paid#56 of 68

Median peer was paid$165K

This provider vs. median0.1×

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	268	$11K
2019	170	$9K

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	66%	225	220	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	197	192	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	16	15	$346.04

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.