Physician
Johnston, Douglas
Johnston, Douglas was paid $645K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99243, — 53% of everything it billed.
33Billing provider infoJOHNSTON, DOUGLAS
CHICAGO, IL 60611
CHICAGO, IL 60611
33aNPI1659581262assigned 05/23/2007
33bProvider typePediatric Otolaryngology Physician
28Total paid$645K
24GClaims8,490
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Otolaryngology Physician providers in Illinois
Rank by total paid#2 of 15
Median peer was paid$250K
This provider vs. median2.6×
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 | 972 | $73K | |
| 2019 | 2,015 | $149K | |
| 2020 | 1,119 | $82K | |
| 2021 | 961 | $63K | |
| 2022 | 980 | $68K | |
| 2023 | 1,307 | $110K | |
| 2024incomplete | 1,136 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99243 | 53% | 3,789 | 3,039 | $341K | |
| 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% | 3,240 | 2,737 | $120K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 14% | 458 | 358 | $90K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 8.9% | 443 | 440 | $57K |
| 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 | 2.5% | 263 | 231 | $16K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.8% | 102 | 69 | $12K |
| 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 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 21 | 21 | $2K |
| 69210 | <1% | 45 | 38 | $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.