Englehart, Erik

Englehart, Erik was paid $166K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 57% of everything it billed.

33Billing provider infoENGLEHART, ERIK
SANDWICH, IL 60548

33aNPI1679581367assigned 08/04/2006

33bProvider typeFamily Medicine Physician

28Total paid$166K

24GClaims9,857

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#670 of 2,947

Median peer was paid$43K

This provider vs. median3.9×

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	1,661	$30K
2019	1,328	$15K
2020	1,512	$19K
2021	1,280	$23K
2022	1,277	$25K
2023	1,450	$26K
2024incomplete	1,349	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	57%	6,881	6,342	$95K
99308	Subsequent nursing facility care, per day, straightforward	19%	2,050	1,970	$31K
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	14%	436	423	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.9%	234	219	$10K
99306	Prolong nursin fac eval 15m	3.2%	147	138	$5K
99305		1.3%	55	55	$2K
99307		<1%	54	53	$528.35

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.