Buikema, Tovah

Buikema, Tovah was paid $65K by Medicaid between Jan 2018 and Oct 2019, across 16 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 31% of everything it billed.

33Billing provider infoBUIKEMA, TOVAH
URBANA, IL 61801

33aNPI1063714459assigned 11/17/2010

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$65K

24GClaims1,926

24DCodes billed16

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Illinois

Rank by total paid#54 of 70

Median peer was paid$210K

This provider vs. median0.3×

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	1,113	$37K
2019	813	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	31%	549	484	$20K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	17%	347	324	$11K
76818		15%	342	274	$10K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	12%	211	203	$8K
99244	Office or other outpatient consultation, moderate to high complexity	6.1%	27	26	$4K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	5.8%	104	102	$4K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	4.3%	85	83	$3K
76813		1.3%	30	30	$841.36
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	1.2%	16	14	$808.29
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	23	12	$694.47
59025	Fetal non-stress test	1.0%	99	33	$663.60
76819	Fetal biophysical profile; without non-stress testing	<1%	43	33	$621.99

4 more codes

76801		<1%	13	$539.25
76825		<1%	12	$382.45
76827		<1%	12	$329.37
99238	Hospital discharge day management, 30 minutes or less	<1%	13	$326.15

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.