Adams, Michael

Adams, Michael was paid $36K by Medicaid between Jan 2018 and Nov 2022, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 32% of everything it billed.

33Billing provider infoADAMS, MICHAEL
GRANITE CITY, IL 62040

33aNPI1851383301assigned 08/19/2005

33bProvider typeInternal Medicine Physician

28Total paid$36K

24GClaims912

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#1,615 of 3,722

Median peer was paid$26K

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

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	86	$2K
2019	133	$3K
2020	201	$5K
2021	305	$12K
2022	187	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	32%	115	112	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	397	334	$10K
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	29%	255	229	$10K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	10%	103	66	$4K
99490	Ccm add 20min	<1%	42	39	$220.48

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.