Fricke, Penny

Fricke, Penny was paid $98K by Medicaid between Oct 2018 and May 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoFRICKE, PENNY
SPRINGFIELD, IL 62704

33aNPI1376529917assigned 12/15/2005

33bProvider typeFamily Health Clinical Nurse Specialist

28Total paid$98K

24GClaims2,063

24DCodes billed5

24AFirst – last monthOct 2018 – May 2023

Compared with peers

Next to other Family Health Clinical Nurse Specialist providers in Illinois

Rank by total paid#2 of 5

Median peer was paid$54K

This provider vs. median1.8×

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

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	134	$6K
2019	375	$16K
2020	227	$9K
2021	483	$23K
2022	611	$32K
2023	233	$12K

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	85%	1,825	1,591	$83K
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	10%	127	124	$10K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.3%	58	53	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	14	14	$439.77
81003		<1%	39	36	$85.13

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.