Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Lowry, Heather

Lowry, Heather was paid $28K by Medicaid between Aug 2020 and Apr 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoLOWRY, HEATHER
PORT BYRON, IL 61275
33aNPI1285281139assigned 08/23/2019
28Total paid$28K
24GClaims571
24DCodes billed5
24AFirst – last monthAug 2020 – Apr 2023
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,604 of 3,353
Median peer was paid$25K
This provider vs. median1.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
202099$4K
2021112$5K
2022266$14K
202394$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 64% 401 315 $18K
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 31% 123 118 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.1% 19 18 $600.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.5% 15 13 $438.20
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13 12 $204.10

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.