Ulmer, Suzanne

Ulmer, Suzanne was paid $4K by Medicaid between Aug 2019 and Dec 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoULMER, SUZANNE
SIMPSONVILLE, SC 29681

33aNPI1144269762assigned 06/06/2006

33bProvider typePediatric Nurse Practitioner

28Total paid$4K

24GClaims96

24DCodes billed4

24AFirst – last monthAug 2019 – Dec 2019

Compared with peers

Next to other Pediatric Nurse Practitioner providers in South Carolina

Rank by total paid#26 of 39

Median peer was paid$7K

This provider vs. median0.5×

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
2019	96	$4K

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	59%	38	37	$2K
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	32%	14	14	$1K
99051		8.4%	30	29	$298.56
G9153	Mapcp demonstration - physician incentive pool	0%	14	14	$0.00

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.