Merlo, Alex

Merlo, Alex was paid $68K by Medicaid between Jul 2019 and Nov 2024, across 3 billing codes. Its largest line is 99283, emergency room visit (moderate) — 51% of everything it billed.

33Billing provider infoMERLO, ALEX
PITTSFIELD, IL 62363

33aNPI1710365358assigned 05/15/2015

33bProvider typeSurgery Physician

28Total paid$68K

24GClaims1,785

24DCodes billed3

24AFirst – last monthJul 2019 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#42 of 422

Median peer was paid$5K

This provider vs. median14×

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	133	$3K
2020	89	$2K
2021	347	$12K
2022	448	$18K
2023	406	$16K
2024incomplete	362	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	51%	894	849	$35K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	26%	245	235	$18K
99282	Emergency department visit for the evaluation and management, low to moderate severity	23%	646	602	$16K

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.