Tom, Richard

Tom, Richard was paid $518K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 0502F, — 37% of everything it billed.

33Billing provider infoTOM, RICHARD
AURORA, IL 60504

33aNPI1952396517assigned 09/20/2005

33bProvider typeObstetrics & Gynecology Physician

28Total paid$518K

24GClaims8,280

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#64 of 911

Median peer was paid$41K

This provider vs. median13×

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

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

Year	Claims	Paid
2018	609	$27K
2019	577	$24K
2020	1,313	$45K
2021	1,631	$78K
2022	693	$31K
2023	1,629	$123K
2024incomplete	1,828	$188K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		37%	4,007	2,233	$192K
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	29%	1,328	440	$149K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	965	499	$80K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	11%	808	578	$56K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	2.2%	15	12	$11K
99000		2.1%	608	477	$11K
0500F		1.5%	116	94	$8K
59430		<1%	24	12	$3K
0503F		<1%	47	38	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	26	24	$2K
90686		<1%	71	57	$1K
96160		<1%	79	53	$976.30

4 more codes

81025		<1%	72	$381.69
90656		<1%	12	$243.75
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	15	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	87	$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.