NP / PA
Wagner, Nicole
Wagner, Nicole was paid $606K by Medicaid between Jul 2021 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoWAGNER, NICOLE
WAUCONDA, IL 60084
WAUCONDA, IL 60084
33aNPI1194968602assigned 04/14/2009
33bProvider typeFamily Nurse Practitioner
28Total paid$606K
24GClaims13,371
24DCodes billed20
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#48 of 3,353
Median peer was paid$25K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2021 | 2,791 | $111K | |
| 2022 | 2,600 | $104K | |
| 2023 | 2,419 | $119K | |
| 2024incomplete | 5,561 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 5,323 | 4,693 | $441K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,816 | 1,607 | $97K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 378 | 308 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 315 | 274 | $22K |
| 99384 | <1% | 36 | 30 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 243 | 199 | $3K |
| 96127 | <1% | 121 | 114 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 69 | 68 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 17 | 14 | $1K |
| 90619 | <1% | 64 | 62 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 56 | 52 | $835.30 |
8 more codes
| 99000 | <1% | 35 | $797.64 | |
| 90651 | <1% | 38 | $634.98 | |
| 90715 | <1% | 14 | $233.94 | |
| 81002 | <1% | 75 | $189.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 116 | $25.71 |
| 3008F | 0% | 3,958 | $0.00 | |
| 3074F | 0% | 646 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 39 | $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.