Mussemann, Helen

Mussemann, Helen was paid $132K by Medicaid between Feb 2018 and Oct 2021, across 17 billing codes. Its largest line is 0502F, — 53% of everything it billed.

33Billing provider infoMUSSEMANN, HELEN
BELLEVILLE, IL 62220

33aNPI1255387692assigned 05/26/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$132K

24GClaims2,986

24DCodes billed17

24AFirst – last monthFeb 2018 – Oct 2021

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#225 of 911

Median peer was paid$41K

This provider vs. median3.3×

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	157	$7K
2019	1,041	$47K
2020	1,206	$48K
2021	582	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		53%	1,627	1,280	$70K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	18%	292	252	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	548	444	$22K
76801		2.1%	41	40	$3K
0500F		1.8%	57	53	$2K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	1.5%	31	27	$2K
87481		1.2%	49	14	$2K
76830	Ultrasound, transvaginal	<1%	18	12	$1K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	77	33	$1K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	78	33	$1K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	14	13	$862.80
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	15	14	$838.82

5 more codes

87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	28	$733.28
87511		<1%	28	$732.80
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	<1%	18	$549.00
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	29	$540.98
81025		<1%	36	$87.72

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.