Englund, Karen

Englund, Karen was paid $356K by Medicaid between Jan 2018 and Mar 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoENGLUND, KAREN
BELVIDERE, IL 61008

33aNPI1407872591assigned 07/14/2006

33bProvider typeFamily Medicine Physician

28Total paid$356K

24GClaims7,494

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#302 of 2,947

Median peer was paid$43K

This provider vs. median8.3×

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	1,113	$46K
2019	2,335	$118K
2020	1,373	$56K
2021	873	$43K
2022	840	$43K
2023	830	$43K
2024incomplete	130	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	48%	2,764	2,543	$170K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	48%	4,102	3,786	$169K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.2%	132	103	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	81	73	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	145	137	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	87	72	$2K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	24	24	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	54	51	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	13	13	$667.03
81002		<1%	92	83	$237.65

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.