Ertle, James

Ertle, James was paid $175K by Medicaid between Feb 2018 and May 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoERTLE, JAMES
HINSDALE, IL 60521

33aNPI1992762173assigned 04/30/2006

33bProvider typeDermatology Physician

28Total paid$175K

24GClaims3,733

24DCodes billed7

24AFirst – last monthFeb 2018 – May 2023

Compared with peers

Next to other Dermatology Physician providers in Illinois

Rank by total paid#24 of 212

Median peer was paid$19K

This provider vs. median9.0×

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	570	$25K
2019	1,304	$56K
2020	582	$25K
2021	648	$29K
2022	604	$38K
2023	25	$1K

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	29%	1,269	1,190	$51K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27%	909	867	$48K
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	17%	540	481	$29K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13%	288	257	$22K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	7.3%	301	287	$13K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.3%	407	392	$11K
17110		<1%	19	12	$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.