Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Kankakee › NPI 1902845027
Physician

Smithgall, Scott

Smithgall, Scott was paid $485K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.

33Billing provider infoSMITHGALL, SCOTT
KANKAKEE, IL 60901
33aNPI1902845027assigned 06/05/2006
28Total paid$485K
24GClaims7,642
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#156 of 1,980
Median peer was paid$150K
This provider vs. median3.2×

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
2018694$26K
2019976$37K
2020845$44K
20211,570$110K
20221,371$99K
20231,180$84K
2024incomplete1,006$86K
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 50% 2,908 2,780 $241K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 39% 3,055 2,922 $187K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 1,653 1,569 $57K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 26 24 $246.67

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.