Physician
Barsella, Adam
Barsella, Adam was paid $36K by Medicaid between Aug 2019 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoBARSELLA, ADAM
ST CHARLES, IL 60174
ST CHARLES, IL 60174
33aNPI1770931420assigned 06/02/2016
33bProvider typePediatrics Physician
28Total paid$36K
24GClaims934
24DCodes billed11
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#1,015 of 1,805
Median peer was paid$55K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 56 | $2K | |
| 2020 | 160 | $5K | |
| 2021 | 33 | $922.71 | |
| 2022 | 300 | $12K | |
| 2023 | 207 | $8K | |
| 2024incomplete | 178 | $8K |
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 | 41% | 253 | 238 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 372 | 344 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 35 | 30 | $2K |
| 90686 | 4.0% | 109 | 103 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 12 | 12 | $798.24 |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.0% | 24 | 23 | $711.60 |
| 90656 | 1.8% | 38 | 35 | $643.91 | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 23 | 16 | $480.60 |
| 99460 | 1.3% | 14 | 13 | $468.88 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 17 | 15 | $273.25 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 37 | 24 | $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.