Physician
Krumholz, Lindsey
Krumholz, Lindsey was paid $1.35M by Medicaid between Feb 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoKRUMHOLZ, LINDSEY
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
33aNPI1053675561assigned 06/28/2012
33bProvider typePediatrics Physician
28Total paid$1.35M
24GClaims41,884
24DCodes billed51
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#88 of 1,805
Median peer was paid$55K
This provider vs. median25×
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 | 5,259 | $127K | |
| 2019 | 7,751 | $220K | |
| 2020 | 4,289 | $131K | |
| 2021 | 3,464 | $110K | |
| 2022 | 6,906 | $251K | |
| 2023 | 7,312 | $258K | |
| 2024incomplete | 6,903 | $258K |
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 | 21% | 5,753 | 4,368 | $279K |
| 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% | 3,418 | 2,587 | $255K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 2,454 | 1,715 | $191K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 1,641 | 1,232 | $113K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.6% | 1,397 | 1,039 | $103K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.1% | 2,721 | 1,857 | $55K |
| 96127 | 3.9% | 2,982 | 2,155 | $53K | |
| 92558 | 3.4% | 3,726 | 2,652 | $46K | |
| D1206 | Topical application of fluoride varnish | 2.9% | 1,472 | 1,024 | $40K |
| 87428 | 2.9% | 596 | 528 | $39K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 407 | 314 | $35K |
| 90686 | 1.9% | 2,230 | 1,543 | $25K |
39 more codes
| 99173 | 1.6% | 2,893 | $22K | |
| 90670 | <1% | 902 | $12K | |
| 90698 | <1% | 734 | $11K | |
| 83655 | <1% | 723 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 268 | $6K |
| 90677 | <1% | 288 | $6K | |
| 90633 | <1% | 362 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 295 | $5K |
| 96160 | <1% | 314 | $4K | |
| 90744 | <1% | 262 | $4K | |
| 36416 | <1% | 914 | $3K | |
| 90656 | <1% | 196 | $3K | |
| 97803 | <1% | 412 | $3K | |
| 85018 | <1% | 1,217 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 66 | $3K |
| 90680 | <1% | 208 | $2K | |
| 90651 | <1% | 151 | $2K | |
| 90707 | <1% | 166 | $2K | |
| 80061 | Lipid panel | <1% | 265 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 53 | $2K |
| 0072A | <1% | 34 | $2K | |
| 0071A | <1% | 32 | $1K | |
| 90696 | <1% | 92 | $1K | |
| 90716 | <1% | 91 | $1K | |
| 82947 | <1% | 284 | $1K | |
| 81003 | <1% | 370 | $825.73 | |
| 90710 | <1% | 42 | $716.90 | |
| 90619 | <1% | 40 | $680.88 | |
| 90734 | <1% | 32 | $640.94 | |
| 81002 | <1% | 245 | $628.74 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $458.70 |
| 90715 | <1% | 16 | $280.60 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 37 | $218.75 |
| 90380 | <1% | 12 | $208.38 | |
| 87807 | <1% | 13 | $137.61 | |
| 99051 | <1% | 137 | $115.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 432 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 406 | $0.00 |
| 99000 | 0% | 65 | $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.