NP / PA
Mense, Ginny
Mense, Ginny was paid $93K by Medicaid between Sep 2021 and Jan 2022, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 34% of everything it billed.
33Billing provider infoMENSE, GINNY
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
33aNPI1043816374assigned 12/10/2020
33bProvider typeNurse Practitioner
28Total paid$93K
24GClaims2,161
24DCodes billed7
24AFirst – last monthSep 2021 – Jan 2022
Compared with peers
Next to other Nurse Practitioner providers in Illinois
Rank by total paid#345 of 1,687
Median peer was paid$22K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2021 | 2,002 | $87K | |
| 2022 | 159 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 401 | 295 | $32K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 23% | 623 | 422 | $22K |
| 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 | 19% | 252 | 177 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.4% | 188 | 149 | $9K |
| 99000 | 8.6% | 539 | 463 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 132 | 100 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | 15 | $408.20 |
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.