Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Mattoon › NPI 1740243989
Physician

Lee, Elbert

Lee, Elbert was paid $84K by Medicaid between Jan 2018 and Sep 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoLEE, ELBERT
MATTOON, IL 61938
33aNPI1740243989assigned 04/10/2006
33bProvider typePsychiatry Physician
28Total paid$84K
24GClaims2,398
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers

Next to other Psychiatry Physician providers in Illinois

Rank by total paid#303 of 660
Median peer was paid$68K
This provider vs. median1.2×

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$5.0K$10K2018201920202021202220232024
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
2018988$28K
2019627$21K
2020427$13K
2021285$17K
202271$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 66% 1,374 788 $56K
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 19% 577 554 $16K
90792 Psychiatric diagnostic evaluation with medical services 7.3% 61 61 $6K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 5.7% 265 250 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.6% 71 68 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 50 44 $117.72

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.