Holtsford, Stephen

Holtsford, Stephen was paid $223K by Medicaid between Jan 2018 and Dec 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoHOLTSFORD, STEPHEN
SAINT CHARLES, IL 60174

33aNPI1801979463assigned 10/24/2006

33bProvider typeAddiction Medicine (Preventive Medicine) Physician

28Total paid$223K

24GClaims6,158

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Addiction Medicine (Preventive Medicine) Physician providers in Illinois

Rank by total paid#2 of 7

Median peer was paid$132K

This provider vs. median1.7×

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
2018	493	$19K
2019	657	$25K
2020	735	$25K
2021	1,850	$53K
2022	980	$43K
2023	1,443	$58K

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	32%	1,975	841	$72K
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	32%	1,345	740	$71K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	9.2%	511	481	$21K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	8.0%	291	257	$18K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	7.9%	571	551	$18K
96160		5.9%	727	348	$13K
90853	Group psychotherapy (other than of a multiple-family group)	2.9%	193	62	$7K
99406		1.5%	462	108	$3K
96127		<1%	55	43	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	12	$155.40
80305		<1%	15	15	$134.70

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.