Stone, Bethany

Stone, Bethany was paid $449K by Medicaid between Dec 2018 and Dec 2024, across 8 billing codes. Its largest line is 99285, emergency room visit (most serious) — 35% of everything it billed.

33Billing provider infoSTONE, BETHANY
EFFINGHAM, IL 62401

33aNPI1093280901assigned 10/06/2018

33bProvider typeNurse Practitioner

28Total paid$449K

24GClaims7,458

24DCodes billed8

24AFirst – last monthDec 2018 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in Illinois

Rank by total paid#35 of 1,687

Median peer was paid$22K

This provider vs. median20×

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	74	$3K
2019	1,293	$50K
2020	1,330	$62K
2021	1,105	$57K
2022	1,268	$76K
2023	1,211	$97K
2024incomplete	1,177	$105K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	35%	1,804	1,653	$158K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	27%	1,965	1,775	$122K
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%	864	770	$57K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	9.8%	1,311	1,091	$44K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.5%	1,032	928	$43K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.4%	350	293	$15K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.1%	120	105	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	12	$275.15

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.