Providers
MARTIN J REPETTO, MD
NPI 1881634228, individual, Mahomet, IL, Psychiatry & Neurology, Psychiatry
5
Evidence tier
informational
score 31 of 100, rank 10860, $1.7M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARTIN J REPETTO, MD |
| Type | Individual |
| Status | Active |
| NPI issued | June 7, 2006, last updated August 5, 2024 |
| Practice location | 1504 PATTON DR, Mahomet, IL 61853-8144, 217-586-2633 |
| Mailing address | 1120 N MELVIN ST, Gibson City, IL 60936-1477 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, license ME85073 FL) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 036118864 IL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $825K | 37% | $120 | $67 (top 5% from $174) | 85th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $798K | 36% | $162 | $105 (top 5% from $228) | 87th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $230K | 10% | $42 | $48 (top 5% from $80) | 41st percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $157K | 7% | $149 | $112 (top 5% from $313) | 71st percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $109K | 5% | $92 | $96 (top 5% from $249) | 47th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $88K | 4% | $54 | $37 (top 5% from $103) | 72nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $260 | 0% | $19 | $44 (top 5% from $110) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 445 | 80 | $27K | $150 | $76 | 2.0x | 2.6x (90th percentile 4.3x) |
| 90792 | Psychiatric diagnostic evaluation with medical services | 72 | 67 | $9K | $400 | $166 | 2.4x | 2.2x (90th percentile 3.9x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 76 | 67 | $5K | $175 | $78 | 2.2x | 2.6x (90th percentile 4.7x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
3 providers in Champaign County, IL carry an indicator in the public record, with $141K at stake between them. The most common is part of a provider network, on 2 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | TRANSITIONS HOSPICE CENTRAL ILLINOIS, LLC Champaign, IL, ranked 3495 | $0 |
|
| 3 | COUNTRY HEALTH, INC Gifford, IL, ranked 6315 | $0 |
|
| 5 | IJEOMA ANUKWU Savoy, IL, ranked 11550 | $141K |
Recent enforcement in IL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
United States Attorney Andrew S. Boutros Announces Charges Against Two Chicago-Area Defendants as Part of Department of Justice’s National Healthcare Fraud Takedown
Two Chicago-area defendants were charged, one for selling Medicare beneficiary information and providing fake AI-generated consent recordings so laboratories could bill Medicare for over-the-counter Covid-19 test kits that were never requested or provided, and the other for directing the creation of fake medical records and billing Illinois Medicaid for behavioral health counseling and therapy services that were never provided, including for deceased beneficiaries.
DOJConvictedJun 18, 2026
Suburban Chicago Chiropractor Convicted of Healthcare Fraud
A chiropractor submitted fraudulent claims to Blue Cross Blue Shield of Illinois for health care services that were not actually provided and submitted false patient medical records when the insurer attempted to audit the claims.
DOJSentencedJun 10, 2026
Jacksonville Chiropractor Sentenced to a Year in Prison for Healthcare Fraud and Related Offenses
Rondeau submitted more than 2,000 fraudulent claims to health insurance companies and convinced clients to sign false documents after learning he was under investigation.
DOJCivil settlementMay 8, 2026
Three Affiliated Skilled Nursing Facilities to Pay $300,000 to Resolve False Claims Act Allegations Related to Medically Unnecessary Rehabilitation Services
Three affiliated skilled nursing facilities billed Medicare between Jan. 1, 2014, and Sept. 30, 2019, for physical therapy, occupational therapy, and speech pathology services provided to patients for longer than medically necessary and without regard for patients' individual medical needs, resulting in claims based on inflated RUG levels.
DOJIndictedFeb 12, 2026
Two Foreign Nationals Indicted in Chicago as Part of $10 Million Health Care Fraud Scheme
The indictment alleges the defendants used nominee-owned laboratories and durable medical equipment providers to submit fraudulent claims to Medicare and private health care benefit programs for items and services that were not provided, and laundered and transferred proceeds to Pakistan.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.