Blain, Michael

Blain, Michael was paid $47K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99283, emergency room visit (moderate) — 68% of everything it billed.

33Billing provider infoBLAIN, MICHAEL
ELDORADO, IL 62930

33aNPI1801076146assigned 11/04/2007

33bProvider typeFamily Medicine Physician

28Total paid$47K

24GClaims1,468

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,408 of 2,947

Median peer was paid$43K

This provider vs. median1.1×

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	583	$15K
2019	233	$7K
2020	18	$885.96
2021	300	$12K
2022	59	$2K
2023	159	$6K
2024incomplete	116	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	68%	1,060	1,015	$32K
0012A		11%	126	108	$5K
0011A		9.5%	128	105	$4K
0064A		4.2%	49	47	$2K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	3.7%	57	57	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	18	18	$885.96
0001A		1.2%	13	13	$547.82
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	17	15	$452.71

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.