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

Stirton, John

Stirton, John was paid $20K by Medicaid between Jan 2020 and Sep 2023, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 36% of everything it billed.

33Billing provider infoSTIRTON, JOHN
ALTON, IL 62002
33aNPI1851598429assigned 06/28/2007
28Total paid$20K
24GClaims737
24DCodes billed7
24AFirst – last monthJan 2020 – Sep 2023
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#214 of 422
Median peer was paid$21K
This provider vs. median1.0×

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$2.0K$4.0K2018201920202021202220232024
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
2020192$6K
2021338$10K
202298$3K
2023109$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 36% 184 152 $7K
20610 35% 189 148 $7K
J1040 Injection, methylprednisolone acetate, 80 mg 14% 241 194 $3K
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 4.3% 30 25 $868.86
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.2% 30 26 $841.83
73502 4.0% 45 40 $801.18
73564 2.2% 18 14 $448.56

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.