Burton, Karen

Burton, Karen was paid $6K by Medicaid between Apr 2018 and Sep 2019, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoBURTON, KAREN
LAKE BLUFF, IL 60044

33aNPI1104853878assigned 06/27/2006

33bProvider typePediatrics Physician

28Total paid$6K

24GClaims126

24DCodes billed2

24AFirst – last monthApr 2018 – Sep 2019

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#1,404 of 1,805

Median peer was paid$55K

This provider vs. median0.1×

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	33	$1K
2019	93	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	70%	98	92	$4K
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	30%	28	21	$2K

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.