Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Sycamore › NPI 1669484713
Physician

Phillips, David

Phillips, David was paid $688K by Medicaid between Jan 2018 and Jan 2021, across 28 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 27% of everything it billed.

33Billing provider infoPHILLIPS, DAVID
SYCAMORE, IL 60178
33aNPI1669484713assigned 08/13/2006
33bProvider typePediatrics Physician
28Total paid$688K
24GClaims22,339
24DCodes billed28
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#215 of 1,805
Median peer was paid$55K
This provider vs. median12×

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$20K$40K$60K2018201920202021202220232024
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
20182,147$106K
20198,900$289K
202011,063$288K
2021229$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 27% 2,636 1,388 $185K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 3,917 2,230 $182K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19% 1,703 923 $134K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8.0% 3,369 1,839 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.8% 600 288 $47K
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 4.5% 433 265 $31K
90686 1.6% 1,577 926 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.6% 128 60 $11K
90670 1.4% 1,036 552 $10K
90680 <1% 635 337 $4K
90651 <1% 229 97 $4K
90723 <1% 353 260 $3K
16 more codes
90633 <1% 365 $2K
90647 <1% 348 $2K
90698 <1% 303 $2K
90710 <1% 101 $1K
90744 <1% 190 $1K
99460 <1% 14 $549.46
99238 Hospital discharge day management, 30 minutes or less <1% 15 $423.11
90685 <1% 60 $395.21
90734 <1% 60 $374.30
99174 <1% 34 $252.23
90700 <1% 35 $230.27
90715 <1% 30 $196.94
90696 <1% 28 $151.38
90461 0% 1,359 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 2,694 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 87 $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.