Crain, Effaney
Crain, Effaney was paid $242K by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 98% of everything it billed.
33Billing provider infoCRAIN, EFFANEY
BENTON, IL 62812
BENTON, IL 62812
33aNPI1336525831assigned 08/06/2015
33bProvider typeOccupational Therapist
28Total paid$242K
24GClaims3,267
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in Illinois
Rank by total paid#29 of 289
Median peer was paid$24K
This provider vs. median9.9×
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 | 707 | $45K | |
| 2019 | 354 | $24K | |
| 2020 | 83 | $5K | |
| 2021 | 174 | $12K | |
| 2022 | 464 | $35K | |
| 2023 | 688 | $55K | |
| 2024incomplete | 797 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 98% | 3,146 | 1,074 | $239K |
| 99499 | 1.6% | 121 | 93 | $4K |
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.