Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Bloomington › NPI 1821527201
Physician

Holton, Jacob

Holton, Jacob was paid $216K by Medicaid between Aug 2020 and Nov 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 47% of everything it billed.

33Billing provider infoHOLTON, JACOB
BLOOMINGTON, IL 61701
33aNPI1821527201assigned 06/08/2017
28Total paid$216K
24GClaims3,186
24DCodes billed4
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#717 of 1,980
Median peer was paid$150K
This provider vs. median1.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020180$14K
2021976$74K
20221,040$67K
2023556$32K
2024incomplete434$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 47% 1,070 975 $101K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 36% 1,152 1,080 $79K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 949 864 $36K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 15 14 $399.45

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.