NP / PA
Schrum, Marisa
Schrum, Marisa was paid $277K by Medicaid between Jan 2019 and Mar 2023, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoSCHRUM, MARISA
NEW LENOX, IL 60451
NEW LENOX, IL 60451
33aNPI1235618927assigned 08/13/2018
33bProvider typeFamily Nurse Practitioner
28Total paid$277K
24GClaims5,643
24DCodes billed15
24AFirst – last monthJan 2019 – Mar 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#221 of 3,353
Median peer was paid$25K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2019 | 1,056 | $47K | |
| 2020 | 2,009 | $97K | |
| 2021 | 1,462 | $75K | |
| 2022 | 1,018 | $55K | |
| 2023 | 98 | $4K |
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 | 59% | 2,508 | 2,059 | $164K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 2,147 | 1,723 | $96K |
| 90686 | 2.0% | 424 | 363 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 63 | 54 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 20 | 20 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | 42 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 178 | 166 | $956.03 |
| 87428 | <1% | 15 | 14 | $955.13 | |
| 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% | 58 | 45 | $682.56 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | 27 | $439.76 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | 26 | $422.55 |
| 81003 | <1% | 82 | 64 | $170.04 |
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.