Nielsen, Diane

Nielsen, Diane was paid $114K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoNIELSEN, DIANE
GENEVA, IL 60134

33aNPI1134126949assigned 07/07/2005

33bProvider typePediatrics Physician

28Total paid$114K

24GClaims2,316

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#698 of 1,805

Median peer was paid$55K

This provider vs. median2.1×

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	554	$26K
2019	694	$27K
2020	259	$10K
2021	74	$4K
2022	303	$20K
2023	169	$9K
2024incomplete	263	$17K

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	66%	997	845	$75K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	478	410	$23K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.3%	359	299	$7K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.0%	27	12	$2K
90686		1.7%	151	120	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	18	15	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	35	33	$1K
90656		<1%	41	37	$681.45
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	20	20	$257.60
81002		<1%	95	81	$244.40
85018		<1%	72	53	$163.24
90688		<1%	23	23	$147.20

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.