Boore, Heather

Boore, Heather was paid $196K by Medicaid between Jan 2018 and Apr 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoBOORE, HEATHER
PEORIA, IL 61603

33aNPI1083062285assigned 05/27/2016

33bProvider typePediatric Clinical Nurse Specialist

28Total paid$196K

24GClaims1,708

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Pediatric Clinical Nurse Specialist providers in Illinois

Rank by total paid#3 of 11

Median peer was paid$100K

This provider vs. median2.0×

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	306	$47K
2019	528	$81K
2020	226	$28K
2021	363	$20K
2022	239	$17K
2023	46	$3K

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	79%	1,302	1,072	$155K
99243		11%	200	188	$21K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	7.1%	78	29	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	39	29	$4K
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%	77	66	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	12	$879.18

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.