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

Fox, Samuel

Fox, Samuel was paid $315K by Medicaid between Jan 2018 and Aug 2024, across 20 billing codes. Its largest line is 0502F, — 57% of everything it billed.

33Billing provider infoFOX, SAMUEL
PEORIA, IL 61604
33aNPI1881891240assigned 06/29/2007
28Total paid$315K
24GClaims7,454
24DCodes billed20
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#114 of 911
Median peer was paid$41K
This provider vs. median7.8×

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$10K$20K2018201920202021202220232024
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
20181,293$55K
20192,245$105K
20202,189$78K
20211,101$47K
2023335$13K
2024incomplete291$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0502F 57% 4,128 3,017 $181K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 1,632 1,290 $69K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6.9% 321 293 $22K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 3.9% 13 13 $12K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.2% 104 102 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2.2% 100 56 $7K
0500F 1.8% 128 124 $6K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 40 39 $3K
90686 <1% 117 95 $2K
90715 <1% 60 42 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 130 93 $1K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 13 12 $979.08
8 more codes
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 66 $857.35
99234 <1% 13 $765.05
0503F <1% 12 $601.80
99203 Doctor's office visit, new patient (routine) <1% 12 $514.80
59025 Fetal non-stress test <1% 44 $416.05
36415 Collection of venous blood by venipuncture <1% 298 $41.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 146 $0.00
1160F 0% 77 $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.