Rowe, John

Rowe, John was paid $95K by Medicaid between Jun 2019 and May 2022, across 7 billing codes. Its largest line is 11043, — 62% of everything it billed.

33Billing provider infoROWE, JOHN
MOUNT VERNON, IL 62864

33aNPI1679539019assigned 04/25/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$95K

24GClaims2,837

24DCodes billed7

24AFirst – last monthJun 2019 – May 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#83 of 422

Median peer was paid$21K

This provider vs. median4.6×

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
2019	15	$618.15
2020	89	$3K
2021	2,135	$70K
2022	598	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11043		62%	1,045	449	$59K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	27%	1,073	564	$25K
99308	Subsequent nursing facility care, per day, straightforward	5.6%	429	282	$5K
11044		2.4%	86	43	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.7%	122	100	$2K
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%	15	15	$618.15
99307		<1%	67	64	$484.75

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.