Foltz, Tamara

Foltz, Tamara was paid $464K by Medicaid between Apr 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoFOLTZ, TAMARA
SALEM, IL 62881

33aNPI1255394797assigned 04/07/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$464K

24GClaims11,394

24DCodes billed21

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#87 of 3,353

Median peer was paid$25K

This provider vs. median19×

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	344	$11K
2019	1,299	$55K
2020	1,436	$67K
2021	1,511	$88K
2022	1,943	$129K
2023	848	$54K
2024incomplete	4,013	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45%	4,810	3,239	$209K
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	29%	1,747	1,348	$136K
99345	Prolong home eval add 15m	8.3%	460	404	$38K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.1%	319	254	$23K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.2%	199	178	$15K
96127		3.2%	505	434	$15K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.1%	182	146	$14K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.4%	95	78	$6K
99350	Prolong home eval add 15m	1.2%	84	70	$6K
96161		<1%	46	42	$653.66
90686		<1%	29	26	$278.27
1160F		<1%	603	524	$6.03

9 more codes

1159F		<1%	603	$6.03
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	603	$6.03
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	489	$4.92
1126F		<1%	322	$3.22
1125F		<1%	157	$1.57
3074F		<1%	64	$0.64
99501		<1%	46	$0.46
3016F		<1%	17	$0.17
1111F		<1%	14	$0.14

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.