Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Alton › NPI 1699718692
Physician

Barton, Laura

Barton, Laura was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoBARTON, LAURA
ALTON, IL 62002
33aNPI1699718692assigned 06/14/2006
28Total paid$1.03M
24GClaims29,621
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Illinois

Rank by total paid#1 of 41
Median peer was paid$198K
This provider vs. median5.2×

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$40K2018201920202021202220232024
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
20182,010$72K
20195,378$166K
20205,361$166K
20216,799$236K
20227,371$282K
20231,611$60K
2024incomplete1,091$47K
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 28% 6,457 5,738 $285K
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 16% 2,384 2,116 $169K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 1,437 1,196 $106K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.8% 1,485 1,302 $101K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.2% 750 639 $53K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4.6% 923 833 $47K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4.3% 2,785 2,400 $44K
96127 4.0% 2,950 2,500 $41K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.9% 404 328 $30K
87428 2.8% 495 473 $29K
D1206 Topical application of fluoride varnish 1.5% 615 503 $16K
99460 1.2% 279 264 $13K
32 more codes
99238 Hospital discharge day management, 30 minutes or less 1.1% 341 $12K
90686 1.1% 1,236 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 322 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 663 $10K
90670 <1% 895 $9K
83655 <1% 437 $5K
90648 <1% 636 $4K
90680 <1% 450 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 289 $3K
87807 <1% 340 $3K
90723 <1% 412 $3K
90633 <1% 289 $3K
99000 <1% 80 $2K
90651 <1% 86 $2K
81002 <1% 677 $2K
85018 <1% 660 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 61 $1K
90697 <1% 95 $1K
90710 <1% 122 $1K
90656 <1% 56 $948.01
80061 Lipid panel <1% 136 $901.60
99215 Doctor's office visit, returning patient (complex) <1% 16 $760.87
87400 <1% 45 $728.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 53 $722.40
90619 <1% 33 $484.81
90734 <1% 50 $440.88
90696 <1% 26 $306.59
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 13 $153.00
36416 <1% 16 $65.60
99177 0% 54 $0.00
99072 0% 34 $0.00
99051 0% 34 $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.