Fulton, Zachary

Fulton, Zachary was paid $37K by Medicaid between Sep 2019 and Sep 2024, across 10 billing codes. Its largest line is 99241, — 50% of everything it billed.

33Billing provider infoFULTON, ZACHARY
MENDOTA, IL 61342

33aNPI1982676656assigned 02/06/2006

33bProvider typeFamily Medicine Physician

28Total paid$37K

24GClaims817

24DCodes billed10

24AFirst – last monthSep 2019 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,557 of 2,947

Median peer was paid$43K

This provider vs. median0.9×

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
2019	96	$2K
2020	254	$7K
2021	74	$5K
2022	246	$13K
2023	100	$7K
2024incomplete	47	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99241		50%	194	175	$19K
99223	Prolong inpt eval add15 m	16%	69	65	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	241	189	$5K
99222	Initial hospital care, per day, moderate complexity	11%	60	57	$4K
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	5.1%	51	43	$2K
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	3.2%	105	89	$1K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	26	26	$143.72
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	26	25	$82.76
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	0%	12	12	$0.00
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	0%	33	14	$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.