Schmelka, Kathleen

Schmelka, Kathleen was paid $48K by Medicaid between Mar 2018 and Oct 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 72% of everything it billed.

33Billing provider infoSCHMELKA, KATHLEEN
ELMHURST, IL 60126

33aNPI1114977352assigned 05/10/2006

33bProvider typeEmergency Medicine Physician

28Total paid$48K

24GClaims954

24DCodes billed7

24AFirst – last monthMar 2018 – Oct 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,491 of 1,980

Median peer was paid$150K

This provider vs. median0.3×

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	80	$4K
2019	245	$8K
2020	106	$3K
2021	78	$3K
2022	115	$7K
2023	249	$17K
2024incomplete	81	$6K

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	72%	621	597	$34K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	13%	81	80	$6K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	5.0%	73	73	$2K
99282	Emergency department visit for the evaluation and management, low to moderate severity	4.6%	104	100	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	29	27	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	32	32	$737.30
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	1.5%	14	12	$710.47

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.