NP / PA
Gilhousen, Renee
Gilhousen, Renee was paid $150K by Medicaid between Oct 2020 and Aug 2023, across 8 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 32% of everything it billed.
33Billing provider infoGILHOUSEN, RENEE
EMLENTON, PA 16373
EMLENTON, PA 16373
33aNPI1093041568assigned 10/19/2009
33bProvider typeNurse Practitioner
28Total paid$150K
24GClaims3,581
24DCodes billed8
24AFirst – last monthOct 2020 – Aug 2023
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#37 of 372
Median peer was paid$7K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2020 | 342 | $13K | |
| 2021 | 1,000 | $39K | |
| 2022 | 1,604 | $70K | |
| 2023 | 635 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 32% | 1,601 | 1,566 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 629 | 619 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 319 | 319 | $24K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14% | 603 | 597 | $21K |
| 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 | 13% | 276 | 269 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.4% | 64 | 64 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 60 | 59 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | 29 | $364.50 |
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.