Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Cunningham, Kelsi

Cunningham, Kelsi was paid $27K by Medicaid between Aug 2019 and Sep 2024, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 48% of everything it billed.

33Billing provider infoCUNNINGHAM, KELSI
MACOMB, IL 61455
33aNPI1023531142assigned 07/20/2017
28Total paid$27K
24GClaims791
24DCodes billed4
24AFirst – last monthAug 2019 – Sep 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,627 of 3,353
Median peer was paid$25K
This provider vs. median1.1×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2019484$17K
2020280$9K
202312$440.40
2024incomplete15$699.87
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 48% 453 420 $13K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 28% 165 159 $8K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 158 149 $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 2.6% 15 15 $699.87

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.