Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Carbondale › NPI 1134841125
NP / PA

Grisham, Jessica

Grisham, Jessica was paid $186K by Medicaid between Jun 2023 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoGRISHAM, JESSICA
CARBONDALE, IL 62901
33aNPI1134841125assigned 09/15/2022
28Total paid$186K
24GClaims4,127
24DCodes billed23
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers

Next to other Women's Health Nurse Practitioner providers in Illinois

Rank by total paid#18 of 82
Median peer was paid$50K
This provider vs. median3.7×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2023770$49K
2024incomplete3,357$137K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 664 510 $69K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10.0% 207 135 $19K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 9.0% 387 346 $17K
0502F 8.4% 151 121 $16K
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 8.4% 187 168 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6.6% 329 247 $12K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6.6% 329 247 $12K
86780 3.0% 390 347 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.2% 87 70 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2.1% 138 87 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 439 386 $2K
86803 1.2% 151 126 $2K
11 more codes
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 51 $1K
87340 <1% 126 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 32 $1K
86762 <1% 86 $857.38
81025 <1% 102 $567.72
96127 <1% 33 $481.80
82950 <1% 106 $480.60
83036 Hemoglobin; glycosylated (A1C) <1% 68 $461.90
96160 <1% 32 $451.73
84702 <1% 16 $167.13
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 16 $166.77

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.