Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Dekalb › NPI 1649437682
Physician

Anthony, David

Anthony, David was paid $453K by Medicaid between Jan 2018 and Jun 2024, across 11 billing codes. Its largest line is 99284, emergency room visit (serious) — 45% of everything it billed.

33Billing provider infoANTHONY, DAVID
DEKALB, IL 60115
33aNPI1649437682assigned 05/19/2008
28Total paid$453K
24GClaims12,230
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#194 of 1,980
Median peer was paid$150K
This provider vs. median3.0×

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
20181,832$65K
20193,502$96K
20202,718$75K
20211,717$60K
20221,108$61K
2023888$56K
2024incomplete465$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 45% 3,929 3,533 $202K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 40% 2,592 2,268 $181K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 2,000 1,868 $64K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.1% 611 475 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 24 24 $532.40
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 546 446 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 1,213 1,026 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 444 335 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 433 373 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 299 255 $0.00
99053 0% 139 124 $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.