Peppers, Frank

Peppers, Frank was paid $1.28M by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoPEPPERS, FRANK
GALESBURG, IL 61401

33aNPI1821097395assigned 07/18/2005

33bProvider typePediatrics Physician

28Total paid$1.28M

24GClaims30,424

24DCodes billed45

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#103 of 1,805

Median peer was paid$55K

This provider vs. median23×

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	2,674	$110K
2019	5,781	$252K
2020	5,930	$238K
2021	3,521	$155K
2022	5,116	$203K
2023	4,283	$174K
2024incomplete	3,119	$152K

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	33%	9,035	6,815	$430K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	15%	2,459	1,809	$195K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	15%	2,705	2,034	$190K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	1,948	1,432	$152K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	7.6%	1,132	862	$97K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.1%	3,049	2,372	$53K
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	3.7%	614	541	$48K
90670		1.3%	1,634	1,226	$17K
99173		<1%	1,397	915	$11K
90633		<1%	630	528	$10K
90686		<1%	721	598	$9K
90648		<1%	495	439	$8K

33 more codes

90680		<1%	510	$7K
90723		<1%	339	$5K
90734		<1%	422	$5K
90698		<1%	629	$4K
90744		<1%	579	$4K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	51	$4K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	68	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	107	$3K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	78	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	238	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	183	$3K
90677		<1%	148	$2K
83655		<1%	197	$2K
90715		<1%	194	$2K
87634		<1%	33	$2K
87428		<1%	27	$2K
99460		<1%	27	$2K
90710		<1%	81	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	27	$1K
90651		<1%	61	$1K
87807		<1%	107	$1K
90696		<1%	80	$985.02
90656		<1%	44	$783.23
90700		<1%	60	$683.46
0002A		<1%	14	$621.17
90716		<1%	55	$472.73
90707		<1%	31	$201.45
88720		<1%	41	$180.40
87400		<1%	47	$148.80
85018		<1%	64	$148.48
90647		<1%	12	$80.44
90472	Immunization administration, each additional vaccine (list separately)	0%	25	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	26	$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.