Physician
Polek, James
Polek, James was paid $147K by Medicaid between Sep 2021 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoPOLEK, JAMES
MATTOON, IL 61938
MATTOON, IL 61938
33aNPI1720519754assigned 03/22/2017
33bProvider typeInternal Medicine Physician
28Total paid$147K
24GClaims3,287
24DCodes billed5
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Illinois
Rank by total paid#520 of 3,722
Median peer was paid$26K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2021 | 267 | $10K | |
| 2022 | 881 | $38K | |
| 2023 | 1,141 | $48K | |
| 2024incomplete | 998 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 64% | 1,703 | 1,561 | $95K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 1,303 | 1,196 | $49K |
| 90686 | 1.2% | 114 | 91 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 140 | 127 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | 27 | $466.30 |
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.