Papineau, Elaine

Papineau, Elaine was paid $14K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 38% of everything it billed.

33Billing provider infoPAPINEAU, ELAINE
KANKAKEE, IL 60901

33aNPI1417967589assigned 08/09/2006

33bProvider typeClinical Nurse Specialist

28Total paid$14K

24GClaims526

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Clinical Nurse Specialist providers in Illinois

Rank by total paid#8 of 25

Median peer was paid$8K

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	112	$7K
2021	55	$978.69
2022	36	$672.78
2023	95	$2K
2024incomplete	228	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	38%	63	58	$5K
97597		29%	254	131	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	160	126	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	12%	49	29	$2K

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.