West, Semone

West, Semone was paid $168K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 30% of everything it billed.

33Billing provider infoWEST, SEMONE
LEMONT, IL 60439

33aNPI1750475109assigned 10/02/2006

33bProvider typeChild & Adolescent Psychiatry Physician

28Total paid$168K

24GClaims3,395

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Child & Adolescent Psychiatry Physician providers in Illinois

Rank by total paid#26 of 80

Median peer was paid$86K

This provider vs. median2.0×

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	615	$27K
2019	1,600	$59K
2020	283	$15K
2021	73	$6K
2022	285	$23K
2023	100	$11K
2024incomplete	439	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	30%	1,835	651	$50K
90792	Psychiatric diagnostic evaluation with medical services	29%	431	288	$49K
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	17%	293	278	$28K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	8.6%	326	131	$14K
99223	Prolong inpt eval add15 m	6.2%	92	90	$10K
99238	Hospital discharge day management, 30 minutes or less	5.6%	293	269	$9K
99222	Initial hospital care, per day, moderate complexity	1.7%	35	28	$3K
99239	Hospital discharge day management, more than 30 minutes	<1%	31	14	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	47	27	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$757.41

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.