NP / PA
Lamonica, Susan
Lamonica, Susan was paid $41K by Medicaid between Sep 2022 and Feb 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoLAMONICA, SUSAN
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
33aNPI1104568369assigned 04/08/2022
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$41K
24GClaims957
24DCodes billed3
24AFirst – last monthSep 2022 – Feb 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Illinois
Rank by total paid#201 of 355
Median peer was paid$56K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 157 | $10K | |
| 2023 | 697 | $27K | |
| 2024incomplete | 103 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 77% | 708 | 579 | $32K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 73 | 48 | $6K |
| 96127 | 8.9% | 176 | 158 | $4K |
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.