Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Loy, Gary

Loy, Gary was paid $146K by Medicaid between Apr 2018 and Sep 2024, across 20 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 22% of everything it billed.

33Billing provider infoLOY, GARY
CHICAGO, IL 60637
33aNPI1851404073assigned 08/15/2006
28Total paid$146K
24GClaims3,862
24DCodes billed20
24AFirst – last monthApr 2018 – Sep 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Illinois

Rank by total paid#44 of 70
Median peer was paid$210K
This provider vs. median0.7×

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

$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
2018341$20K
2019562$30K
20202,394$73K
2021210$7K
2022116$4K
2023129$7K
2024incomplete110$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 22% 757 662 $32K
0502F 21% 641 436 $31K
76818 11% 564 397 $17K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7.8% 410 366 $11K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 6.5% 165 146 $9K
99242 6.3% 152 108 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4.7% 254 203 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3.1% 161 155 $4K
76820 3.1% 116 70 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.9% 99 51 $4K
76813 2.5% 120 118 $4K
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 2.1% 38 37 $3K
8 more codes
76821 1.5% 83 $2K
76819 Fetal biophysical profile; without non-stress testing 1.5% 127 $2K
99233 Hospital visit by a doctor, follow-up day (complex) 1.3% 32 $2K
99213 Doctor's office visit, returning patient (routine) <1% 29 $1K
76801 <1% 19 $638.52
90715 <1% 12 $518.10
81003 <1% 67 $163.06
36415 Collection of venous blood by venipuncture <1% 16 $4.10

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.