Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Joliet › NPI 1962852327
Physician

Thomas, Melvin

Thomas, Melvin was paid $360K by Medicaid between Aug 2019 and Nov 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 69% of everything it billed.

33Billing provider infoTHOMAS, MELVIN
JOLIET, IL 60435
33aNPI1962852327assigned 06/16/2016
28Total paid$360K
24GClaims5,053
24DCodes billed4
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#320 of 1,980
Median peer was paid$150K
This provider vs. median2.4×

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$10K$20K2018201920202021202220232024
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
2019644$28K
20201,485$84K
2021757$62K
2022703$56K
2023744$62K
2024incomplete720$67K
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 69% 2,895 2,575 $247K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 23% 1,404 1,284 $84K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.5% 714 607 $24K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.4% 40 36 $5K

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.