Tsambarlis, Peter

Tsambarlis, Peter was paid $65K by Medicaid between Aug 2020 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoTSAMBARLIS, PETER
CHICAGO, IL 60612

33aNPI1730421561assigned 03/19/2013

33bProvider typeSurgery Physician

28Total paid$65K

24GClaims1,392

24DCodes billed4

24AFirst – last monthAug 2020 – Oct 2024

Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#47 of 422

Median peer was paid$5K

This provider vs. median13×

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
2020	65	$4K
2021	385	$17K
2022	562	$27K
2023	345	$15K
2024incomplete	35	$2K

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	76%	1,033	937	$50K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14%	135	124	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.5%	212	182	$6K
51798		<1%	12	12	$160.62

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.