Mussemann, Frank

Mussemann, Frank was paid $48K by Medicaid between Jan 2018 and Sep 2021, across 9 billing codes. Its largest line is 0502F, — 61% of everything it billed.

33Billing provider infoMUSSEMANN, FRANK
BELLEVILLE, IL 62220

33aNPI1083660344assigned 05/26/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$48K

24GClaims1,323

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#420 of 911

Median peer was paid$41K

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
2018	511	$19K
2019	583	$21K
2020	157	$6K
2021	72	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		61%	733	606	$29K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	225	207	$8K
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	9.5%	80	69	$5K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	7.9%	52	43	$4K
59025	Fetal non-stress test	2.2%	140	112	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.1%	12	12	$503.84
0500F		<1%	13	13	$308.70
81025		<1%	52	46	$100.62
87210		<1%	16	13	$75.20

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.