Physician
Sherman, Jonathan
Sherman, Jonathan was paid $1.10M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoSHERMAN, JONATHAN
OAK LAWN, IL 60453
OAK LAWN, IL 60453
33aNPI1639337793assigned 05/27/2008
33bProvider typeOtolaryngology Physician
28Total paid$1.10M
24GClaims17,004
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Otolaryngology Physician providers in Illinois
Rank by total paid#1 of 221
Median peer was paid$21K
This provider vs. median53×
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 | 1,808 | $107K | |
| 2019 | 2,686 | $170K | |
| 2020 | 3,217 | $185K | |
| 2021 | 2,594 | $164K | |
| 2022 | 2,336 | $152K | |
| 2023 | 2,384 | $175K | |
| 2024incomplete | 1,979 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,933 | 5,322 | $213K |
| 99243 | 19% | 2,417 | 2,233 | $207K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 16% | 1,435 | 1,381 | $171K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 12% | 718 | 637 | $134K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 11% | 1,247 | 959 | $116K |
| 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 | 7.4% | 1,550 | 1,358 | $81K |
| 31575 | 6.0% | 558 | 490 | $66K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 2,172 | 2,095 | $51K |
| 42830 | 1.1% | 90 | 67 | $12K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 82 | 67 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 191 | 64 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 129 | 115 | $5K |
7 more codes
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 54 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 79 | $5K |
| 99254 | <1% | 77 | $5K | |
| 69210 | <1% | 178 | $4K | |
| 99253 | <1% | 52 | $2K | |
| 30901 | <1% | 29 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $2K |
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.