NP / PA
Eggers, Karen
Eggers, Karen was paid $146K by Medicaid between Apr 2018 and Aug 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoEGGERS, KAREN
SPRING VALLEY, IL 61362
SPRING VALLEY, IL 61362
33aNPI1073806048assigned 05/24/2011
33bProvider typeFamily Nurse Practitioner
28Total paid$146K
24GClaims2,859
24DCodes billed14
24AFirst – last monthApr 2018 – Aug 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#503 of 3,353
Median peer was paid$25K
This provider vs. median5.9×
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 | 177 | $9K | |
| 2019 | 857 | $36K | |
| 2020 | 302 | $11K | |
| 2021 | 358 | $20K | |
| 2022 | 403 | $28K | |
| 2023 | 113 | $9K | |
| 2024incomplete | 649 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 1,147 | 964 | $88K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 781 | 607 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 58 | 53 | $4K |
| 90686 | 2.7% | 330 | 255 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 30 | 28 | $3K |
| 96127 | 1.7% | 266 | 177 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 30 | 28 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.2% | 117 | 99 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 17 | 13 | $797.28 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 15 | 13 | $537.06 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 31 | 29 | $395.70 |
| 90734 | <1% | 12 | 12 | $346.90 |
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.