Metzger, Paul

Metzger, Paul was paid $54K by Medicaid between Oct 2020 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoMETZGER, PAUL
LINCOLNSHIRE, IL 60069

33aNPI1760688378assigned 06/22/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$54K

24GClaims1,318

24DCodes billed6

24AFirst – last monthOct 2020 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#131 of 422

Median peer was paid$21K

This provider vs. median2.6×

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	13	$1K
2022	194	$8K
2023	480	$18K
2024incomplete	631	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	46%	592	523	$25K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	44%	532	505	$24K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.5%	130	127	$3K
99243		2.4%	13	12	$1K
20610		1.7%	20	13	$927.41
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	31	26	$157.80

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.