Physician
Tapas, Nicholas
Tapas, Nicholas was paid $25K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoTAPAS, NICHOLAS
ST CHARLES, IL 60174
ST CHARLES, IL 60174
33aNPI1730144171assigned 04/19/2006
33bProvider typePediatrics Physician
28Total paid$25K
24GClaims652
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#1,111 of 1,805
Median peer was paid$55K
This provider vs. median0.5×
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 | 96 | $5K | |
| 2019 | 172 | $5K | |
| 2020 | 160 | $3K | |
| 2021 | 25 | $161.60 | |
| 2022 | 53 | $3K | |
| 2023 | 42 | $2K | |
| 2024incomplete | 104 | $7K |
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 | 54% | 183 | 160 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 192 | 133 | $9K |
| 90686 | 7.0% | 194 | 151 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 12 | 12 | $1K |
| 90656 | 1.1% | 17 | 17 | $289.07 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 54 | 27 | $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.