Radja, Marcia

Radja, Marcia was paid $22K by Medicaid between Dec 2020 and Nov 2024, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 32% of everything it billed.

33Billing provider infoRADJA, MARCIA
DOWNERS GROVE, IL 60515

33aNPI1164776670assigned 11/06/2012

33bProvider typeFamily Nurse Practitioner

28Total paid$22K

24GClaims1,180

24DCodes billed8

24AFirst – last monthDec 2020 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,773 of 3,353

Median peer was paid$25K

This provider vs. median0.9×

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
2020	50	$138.35
2022	111	$1K
2023	440	$5K
2024incomplete	579	$16K

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	32%	162	102	$7K
99308	Subsequent nursing facility care, per day, straightforward	28%	361	164	$6K
99490	Ccm add 20min	9.4%	174	171	$2K
99457		9.3%	236	235	$2K
99306	Prolong nursin fac eval 15m	8.5%	29	29	$2K
99458		6.9%	126	124	$1K
99305		5.1%	77	61	$1K
99497		1.3%	15	15	$280.68

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.