Goetz, Carol

Goetz, Carol was paid $229K by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is 99283, emergency room visit (moderate) — 41% of everything it billed.

33Billing provider infoGOETZ, CAROL
DECATUR, IL 62521

33aNPI1255322764assigned 11/03/2005

33bProvider typeFamily Nurse Practitioner

28Total paid$229K

24GClaims5,596

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#290 of 3,353

Median peer was paid$25K

This provider vs. median9.3×

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	1,143	$40K
2019	1,352	$45K
2020	836	$31K
2021	875	$45K
2022	341	$16K
2023	433	$16K
2024incomplete	616	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	41%	2,892	2,655	$93K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	22%	1,110	1,048	$50K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	11%	331	302	$26K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.9%	331	316	$16K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.4%	297	277	$15K
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	5.2%	140	126	$12K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.3%	110	99	$10K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.6%	242	211	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	90	69	$2K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	39	38	$2K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	14	12	$275.26

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.