Abenes, Gloria

Abenes, Gloria was paid $36K by Medicaid between Apr 2019 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoABENES, GLORIA
MOUNT VERNON, IL 62864

33aNPI1316000219assigned 12/19/2006

33bProvider typeAdult Health Nurse Practitioner

28Total paid$36K

24GClaims1,178

24DCodes billed4

24AFirst – last monthApr 2019 – Nov 2024

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Illinois

Rank by total paid#80 of 261

Median peer was paid$13K

This provider vs. median2.8×

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
2019	33	$316.69
2020	155	$5K
2021	314	$8K
2022	286	$10K
2023	164	$4K
2024incomplete	226	$9K

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	86%	996	884	$31K
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	13%	136	97	$5K
99239	Hospital discharge day management, more than 30 minutes	<1%	33	32	$316.69
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	12	$158.13

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.