Wernsman, Misty

Wernsman, Misty was paid $32K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 66% of everything it billed.

33Billing provider infoWERNSMAN, MISTY
MOUNT VERNON, IL 62864

33aNPI1144771692assigned 10/19/2016

33bProvider typeGerontology Nurse Practitioner

28Total paid$32K

24GClaims4,411

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gerontology Nurse Practitioner providers in Illinois

Rank by total paid#32 of 98

Median peer was paid$15K

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	988	$5K
2019	1,029	$5K
2020	1,173	$6K
2021	307	$6K
2022	266	$3K
2023	301	$3K
2024incomplete	347	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	66%	2,859	2,364	$21K
99308	Subsequent nursing facility care, per day, straightforward	20%	1,406	1,190	$6K
0012A		7.2%	55	55	$2K
0011A		6.9%	57	57	$2K
99318		<1%	34	25	$212.54

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.