Hephner, Michelle

Hephner, Michelle was paid $105K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoHEPHNER, MICHELLE
GLEN ELLYN, IL 60137

33aNPI1235346719assigned 05/16/2007

33bProvider typeFamily Medicine Physician

28Total paid$105K

24GClaims1,590

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#939 of 2,947

Median peer was paid$43K

This provider vs. median2.5×

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
2018	252	$15K
2019	396	$27K
2020	340	$23K
2021	143	$10K
2022	176	$11K
2023	135	$8K
2024incomplete	148	$10K

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	94%	1,382	1,031	$98K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.1%	36	35	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	44	30	$2K
90686		1.5%	89	80	$2K
90656		<1%	39	31	$796.18

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.