NP / PA
Baldwin-Dufour, Toni
Baldwin-Dufour, Toni was paid $41K by Medicaid between Oct 2023 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoBALDWIN-DUFOUR, TONI
SWANSEA, IL 62226
SWANSEA, IL 62226
33aNPI1255343349assigned 08/13/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$41K
24GClaims717
24DCodes billed6
24AFirst – last monthOct 2023 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#1,358 of 3,353
Median peer was paid$25K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2023 | 197 | $9K | |
| 2024incomplete | 520 | $32K |
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 | 43% | 240 | 217 | $17K |
| 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 | 35% | 181 | 161 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.6% | 73 | 62 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.5% | 110 | 87 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 45 | 44 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 68 | 59 | $863.50 |
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.