Wernsman, Rachael

Wernsman, Rachael was paid $14K by Medicaid between Mar 2020 and Oct 2023, across 11 billing codes. Its largest line is 0502F, — 18% of everything it billed.

33Billing provider infoWERNSMAN, RACHAEL
CARBONDALE, IL 62901

33aNPI1417590639assigned 10/21/2019

33bProvider typeAdvanced Practice Midwife

28Total paid$14K

24GClaims342

24DCodes billed11

24AFirst – last monthMar 2020 – Oct 2023

Compared with peers

Next to other Advanced Practice Midwife providers in Illinois

Rank by total paid#110 of 172

Median peer was paid$30K

This provider vs. median0.5×

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
2020	314	$13K
2023	28	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		18%	61	47	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	47	32	$2K
87481		15%	38	12	$2K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	9.3%	28	12	$1K
87511		9.3%	28	12	$1K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	8.4%	28	14	$1K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	8.1%	27	14	$1K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	6.5%	32	15	$916.15
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	6.2%	15	12	$877.18
0500F		4.1%	14	12	$582.12
81025		<1%	24	19	$52.38

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.