Kopec, Gretchen

Kopec, Gretchen was paid $60K by Medicaid between Apr 2021 and Aug 2024, across 3 billing codes. Its largest line is 99472, Subsequent inpatient pediatric critical care, per day, 2-5 years — 37% of everything it billed.

33Billing provider infoKOPEC, GRETCHEN
PEORIA, IL 61637

33aNPI1063856342assigned 04/17/2013

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$60K

24GClaims574

24DCodes billed3

24AFirst – last monthApr 2021 – Aug 2024

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Illinois

Rank by total paid#66 of 148

Median peer was paid$48K

This provider vs. median1.2×

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	101	$8K
2022	305	$39K
2023	101	$8K
2024incomplete	67	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	37%	88	13	$22K
99480	Subsequent intensive care, per day, low birth weight infant	32%	254	108	$19K
99479	Subsequent intensive care, per day, very low birth weight infant	32%	232	89	$19K

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.