DOMINIQUE, SARAH
NPI: 1114348620
· PEORIA, IL 61637
· Pediatric Clinical Nurse Specialist
· NPI assigned 12/31/2013
$100K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
187 |
$7K |
| 2019 |
92 |
$13K |
| 2021 |
174 |
$8K |
| 2022 |
348 |
$15K |
| 2023 |
672 |
$29K |
| 2024 |
600 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
899 |
816 |
$68K |
| 95251 |
|
823 |
745 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
166 |
$9K |
| 99215 |
Prolong outpt/office vis |
33 |
27 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
145 |
123 |
$2K |