Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Sembatya, Rashidah

Sembatya, Rashidah was paid $217K by Medicaid between Sep 2022 and Nov 2024, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 63% of everything it billed.

33Billing provider infoSEMBATYA, RASHIDAH
OAK PARK, IL 60302
33aNPI1376297093assigned 02/10/2022
28Total paid$217K
24GClaims3,666
24DCodes billed5
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#324 of 3,353
Median peer was paid$25K
This provider vs. median8.8×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2022585$41K
20231,935$106K
2024incomplete1,146$71K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 63% 1,125 1,107 $137K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 19% 926 797 $41K
99308 Subsequent nursing facility care, per day, straightforward 14% 1,231 549 $31K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2.4% 157 105 $5K
99307 1.8% 227 150 $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.