Nies, Shawn
Nies, Shawn was paid $19K by Medicaid between Nov 2022 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 97% of everything it billed.
33Billing provider infoNIES, SHAWN
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
33aNPI1356094650assigned 01/27/2022
33bProvider typeEmergency Registered Nurse
28Total paid$19K
24GClaims521
24DCodes billed2
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers
Next to other Emergency Registered Nurse providers in Illinois
Rank by total paid#12 of 18
Median peer was paid$36K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2022 | 17 | $529.96 | |
| 2023 | 339 | $11K | |
| 2024incomplete | 165 | $8K |
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 | 97% | 509 | 386 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 12 | 12 | $654.44 |
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.