Kane, Andrea

Kane, Andrea was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoKANE, ANDREA
BLOOMINGTON, IL 61704

33aNPI1285804724assigned 03/11/2008

33bProvider typePediatrics Physician

28Total paid$1.25M

24GClaims25,888

24DCodes billed35

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#108 of 1,805

Median peer was paid$55K

This provider vs. median23×

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	3,356	$147K
2019	5,473	$219K
2020	3,939	$147K
2021	4,361	$192K
2022	3,055	$181K
2023	3,024	$180K
2024incomplete	2,680	$185K

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	29%	4,932	4,544	$363K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	6,338	5,769	$296K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	2,389	2,045	$164K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	2,068	1,934	$158K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.9%	1,312	1,253	$99K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.8%	883	843	$73K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.7%	1,240	1,130	$22K
96127		1.1%	944	845	$14K
D1206	Topical application of fluoride varnish	<1%	389	339	$10K
90686		<1%	1,078	997	$8K
90670		<1%	826	791	$7K
90651		<1%	315	290	$7K

23 more codes

99215	Doctor's office visit, returning patient (complex)	<1%	72	$4K
90698		<1%	454	$4K
83655		<1%	303	$4K
90734		<1%	214	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	206	$3K
90633		<1%	260	$2K
90647		<1%	266	$2K
90723		<1%	253	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	93	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	45	$990.67
85018		<1%	402	$919.60
90681		<1%	131	$836.48
90744		<1%	121	$784.64
90715		<1%	90	$678.35
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	$333.45
90685		<1%	38	$290.72
36416		<1%	55	$225.50
90710		<1%	24	$153.60
90696		<1%	23	$147.20
90648		<1%	14	$106.63
90707		<1%	12	$78.72
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	49	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	36	$0.00

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.