Umenze, Dorothy

Umenze, Dorothy was paid $54K by Medicaid between Apr 2022 and May 2023, across 22 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 14% of everything it billed.

33Billing provider infoUMENZE, DOROTHY
CHICAGO, IL 60653

33aNPI1376007922assigned 01/28/2019

33bProvider typeFamily Nurse Practitioner

28Total paid$54K

24GClaims2,405

24DCodes billed22

24AFirst – last monthApr 2022 – May 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,149 of 3,353

Median peer was paid$25K

This provider vs. median2.2×

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
2022	1,392	$33K
2023	1,013	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	14%	176	112	$8K
99423		11%	203	112	$6K
99195		10.0%	101	73	$5K
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	9.3%	89	78	$5K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	8.6%	389	211	$5K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	7.9%	184	112	$4K
99000		6.9%	164	122	$4K
G2010	Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment	6.0%	363	196	$3K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	4.5%	119	111	$2K
G2252	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion	4.4%	137	75	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	41	38	$2K
90865		2.3%	17	12	$1K

10 more codes

96127		2.3%	73	$1K
99492		2.2%	23	$1K
82308		1.7%	60	$928.80
G0472	Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	1.3%	73	$700.00
80305		<1%	57	$469.62
82331		<1%	60	$462.40
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	17	$424.39
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	16	$271.70
99408		<1%	25	$200.00
82962		<1%	18	$33.28

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.