Pfoutz, Valarie

Pfoutz, Valarie was paid $4K by Medicaid between Oct 2021 and Apr 2024, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 35% of everything it billed.

33Billing provider infoPFOUTZ, VALARIE
DIXON, IL 61021

33aNPI1063029247assigned 09/30/2020

33bProvider typeFamily Nurse Practitioner

28Total paid$4K

24GClaims89

24DCodes billed4

24AFirst – last monthOct 2021 – Apr 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#2,674 of 3,353

Median peer was paid$25K

This provider vs. median0.1×

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

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	31	$1K
2022	14	$1K
2023	13	$217.36
2024incomplete	31	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	35%	44	44	$1K
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	34%	18	13	$1K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	28%	14	13	$1K
99308	Subsequent nursing facility care, per day, straightforward	3.0%	13	12	$107.84

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.