Gooden, Tonia

Gooden, Tonia was paid $22K by Medicaid between Mar 2023 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoGOODEN, TONIA
BERWYN, IL 60402

33aNPI1962065623assigned 04/18/2019

33bProvider typeHospitalist Physician

28Total paid$22K

24GClaims412

24DCodes billed2

24AFirst – last monthMar 2023 – Nov 2024

Compared with peers

Next to other Hospitalist Physician providers in Illinois

Rank by total paid#243 of 514

Median peer was paid$19K

This provider vs. median1.1×

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
2023	67	$3K
2024incomplete	345	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	95%	398	323	$21K
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	4.7%	14	13	$1K

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.