Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gootee, Michael

Gootee, Michael was paid $673K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 36% of everything it billed.

33Billing provider infoGOOTEE, MICHAEL
PEORIA, IL 61603
33aNPI1720050982assigned 02/02/2006
28Total paid$673K
24GClaims7,464
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers in Illinois

Rank by total paid#1 of 11
Median peer was paid$26K
This provider vs. median26×

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$10K$20K$30K2018201920202021202220232024
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
20182,197$181K
20192,162$189K
20201,310$86K
2021292$23K
2022364$42K
2023635$70K
2024incomplete504$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
42820 Tonsillectomy and adenoidectomy; younger than age 12 36% 1,322 1,207 $245K
99243 26% 1,880 1,735 $176K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 17% 1,186 1,060 $117K
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 8.8% 1,422 1,234 $59K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.2% 1,267 1,088 $35K
99244 Office or other outpatient consultation, moderate to high complexity 3.1% 149 126 $21K
42830 2.5% 124 113 $17K
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% 41 38 $2K
30801 <1% 27 25 $1K
69210 <1% 46 37 $590.23

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.