Cipus Pierre, Gerthy

Cipus Pierre, Gerthy was paid $1.38M by Medicaid between Mar 2018 and Nov 2024, across 38 billing codes. Its largest line is 99345, Prolong home eval add 15m — 85% of everything it billed.

33Billing provider infoCIPUS PIERRE, GERTHY
EDWARDSVILLE, IL 62025

33aNPI1083126353assigned 10/26/2017

33bProvider typeFamily Nurse Practitioner

28Total paid$1.38M

24GClaims31,512

24DCodes billed38

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#10 of 3,353

Median peer was paid$25K

This provider vs. median56×

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	199	$7K
2019	2,032	$91K
2020	15,557	$706K
2021	6,861	$376K
2022	3,186	$129K
2023	2,958	$44K
2024incomplete	719	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99345	Prolong home eval add 15m	85%	2,697	1,330	$1.17M
99350	Prolong home eval add 15m	5.4%	234	140	$75K
96127		4.3%	3,001	1,588	$60K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.4%	145	127	$20K
99501		1.2%	222	97	$17K
83037		<1%	400	171	$11K
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%	199	166	$7K
36416		<1%	171	171	$6K
99384		<1%	28	13	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	108	103	$3K
96161		<1%	188	96	$3K
82044		<1%	150	150	$3K

26 more codes

82945		<1%	150	$2K
G0444	Annual depression screening, 5 to 15 minutes	<1%	103	$1K
1160F		<1%	3,754	$37.54
1159F		<1%	3,744	$37.45
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	3,744	$37.44
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	3,332	$33.34
3016F		<1%	2,987	$29.87
1126F		<1%	2,163	$21.63
3074F		<1%	996	$9.96
1125F		<1%	862	$8.62
G9226	Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)	<1%	379	$3.79
3075F		<1%	314	$3.14
2023F		<1%	230	$2.30
3078F		<1%	218	$2.18
3044F		<1%	176	$1.76
3079F		<1%	161	$1.61
1111F		<1%	144	$1.44
4010F		<1%	113	$1.13
3061F		<1%	99	$0.99
3077F		<1%	89	$0.89
1170F		<1%	57	$0.57
1158F		<1%	57	$0.57
3051F		<1%	40	$0.40
3080F		<1%	31	$0.31
3060F		<1%	13	$0.13
2022F		<1%	13	$0.13

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.