Kruse, Michael

Kruse, Michael was paid $232K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.

33Billing provider infoKRUSE, MICHAEL
DANVILLE, IL 61832

33aNPI1093178576assigned 04/01/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$232K

24GClaims4,112

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#281 of 3,353

Median peer was paid$25K

This provider vs. median9.4×

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	259	$8K
2019	582	$21K
2020	326	$13K
2021	508	$18K
2022	467	$16K
2023	207	$7K
2024incomplete	1,763	$149K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	43%	1,298	1,094	$100K
20610		23%	1,585	1,292	$55K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	20%	416	356	$46K
99242		6.4%	239	205	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	194	179	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.7%	287	261	$6K
12001		<1%	21	13	$991.95
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	<1%	27	27	$913.20
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	31	27	$800.00
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	14	14	$467.39

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.