Sommerfeld, Barry

Sommerfeld, Barry was paid $193K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoSOMMERFELD, BARRY
SCHAUMBURG, IL 60193

33aNPI1962507178assigned 09/13/2006

33bProvider typePediatrics Physician

28Total paid$193K

24GClaims6,594

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#563 of 1,805

Median peer was paid$55K

This provider vs. median3.5×

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	410	$18K
2019	665	$28K
2020	859	$16K
2021	860	$24K
2022	887	$34K
2023	1,462	$36K
2024incomplete	1,451	$38K

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	59%	2,320	2,001	$113K
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	21%	533	467	$41K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.6%	159	120	$11K
90686		2.4%	415	369	$5K
96127		2.0%	255	223	$4K
96160		2.0%	263	211	$4K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	1.8%	24	15	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.3%	30	28	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.1%	175	162	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.0%	26	26	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	29	24	$1K
90656		<1%	72	62	$1K

12 more codes

99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	15	$1K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	24	$1K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	16	$375.36
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	14	$289.37
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	14	$204.40
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%	13	$171.47
4274F		0%	400	$0.00
1160F		0%	584	$0.00
1003F		0%	614	$0.00
3008F		0%	537	$0.00
1220F		0%	31	$0.00
1036F		0%	31	$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.