Mefford, Amy

Mefford, Amy was paid $122K by Medicaid between Jan 2018 and Oct 2023, across 9 billing codes. Its largest line is 0502F, — 83% of everything it billed.

33Billing provider infoMEFFORD, AMY
GALESBURG, IL 61401

33aNPI1164416012assigned 09/07/2005

33bProvider typeAdvanced Practice Midwife

28Total paid$122K

24GClaims3,289

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Advanced Practice Midwife providers in Illinois

Rank by total paid#28 of 172

Median peer was paid$30K

This provider vs. median4.1×

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	1,522	$38K
2019	286	$13K
2021	416	$17K
2022	766	$34K
2023	299	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		83%	2,126	1,493	$102K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.1%	186	170	$9K
0500F		5.8%	136	120	$7K
H1000	Prenatal care, at-risk assessment	1.1%	90	89	$1K
81002		1.0%	639	414	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	34	30	$875.98
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	54	54	$712.26
0503F		<1%	12	12	$601.80
90686		<1%	12	12	$182.24

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.