Manse, Crystal

Manse, Crystal was paid $30K by Medicaid between Dec 2018 and Oct 2023, across 6 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 89% of everything it billed.

33Billing provider infoMANSE, CRYSTAL
O FALLON, IL 62269

33aNPI1366702870assigned 05/18/2012

33bProvider typeGeneral Practice Physician

28Total paid$30K

24GClaims627

24DCodes billed6

24AFirst – last monthDec 2018 – Oct 2023

Compared with peers

Next to other General Practice Physician providers in Illinois

Rank by total paid#36 of 74

Median peer was paid$24K

This provider vs. median1.2×

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	23	$423.30
2019	68	$3K
2020	176	$10K
2021	173	$11K
2022	71	$4K
2023	116	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	89%	459	408	$27K
99309	Subsequent nursing facility care, per day, low to moderate complexity	4.2%	103	90	$1K
99220		2.8%	13	13	$834.18
99306	Prolong nursin fac eval 15m	1.7%	13	13	$515.68
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.4%	23	14	$423.30
99308	Subsequent nursing facility care, per day, straightforward	<1%	16	13	$123.81

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.