Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pfalzgraf, Frederick

Pfalzgraf, Frederick was paid $1K by Medicaid between Jun 2019 and Aug 2022, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoPFALZGRAF, FREDERICK
HERRIN, IL 62948
33aNPI1659385581assigned 07/28/2006
33bProvider typeRheumatology Physician
28Total paid$1K
24GClaims62
24DCodes billed1
24AFirst – last monthJun 2019 – Aug 2022
Compared with peers

Next to other Rheumatology Physician providers in Illinois

Rank by total paid#117 of 140
Median peer was paid$20K
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

$0$200$400$6002018201920202021202220232024
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
201913$159.96
202024$575.07
202113$253.49
202212$448.26
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 100% 62 61 $1K

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.