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

Oriordan, Kenneth

Oriordan, Kenneth was paid $227K by Medicaid between Jan 2018 and Dec 2023, across 19 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 54% of everything it billed.

33Billing provider infoORIORDAN, KENNETH
NILES, IL 60714
33aNPI1912075649assigned 12/01/2006
28Total paid$227K
24GClaims4,345
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#36 of 370
Median peer was paid$16K
This provider vs. median14×

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
2018481$9K
2019752$26K
20201,004$52K
2021827$70K
2022855$53K
2023426$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 54% 640 591 $122K
45380 Colonoscopy, flexible; with biopsy, single or multiple 10% 160 153 $23K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.4% 636 604 $21K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.4% 678 447 $17K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.4% 440 294 $12K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.3% 310 278 $12K
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 3.3% 178 153 $8K
99243 2.3% 70 46 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 104 99 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1.0% 13 13 $2K
99222 Initial hospital care, per day, moderate complexity <1% 20 15 $827.35
99254 <1% 12 12 $810.08
7 more codes
99152 <1% 15 $59.36
G8432 Depression screening not documented, reason not given 0% 432 $0.00
1036F 0% 301 $0.00
3017F 0% 25 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 23 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 15 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 273 $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.