Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Naperville › NPI 1417972738
Physician

Thomas, Nancy

Thomas, Nancy was paid $793K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoTHOMAS, NANCY
NAPERVILLE, IL 60563
33aNPI1417972738assigned 07/13/2006
33bProvider typePediatrics Physician
28Total paid$793K
24GClaims15,935
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#183 of 1,805
Median peer was paid$55K
This provider vs. median14×

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$20K$30K2018201920202021202220232024
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
20181,368$61K
20191,638$79K
20201,947$83K
20212,216$96K
20222,626$154K
20232,922$143K
2024incomplete3,218$175K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 30% 3,107 2,646 $239K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 4,123 3,510 $200K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 15% 840 672 $119K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.7% 694 559 $53K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.0% 458 355 $32K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.9% 416 357 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.0% 291 256 $24K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2.2% 737 705 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.3% 283 213 $10K
96160 1.1% 581 413 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.0% 422 252 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 488 419 $8K
23 more codes
96127 <1% 402 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 385 $6K
90686 <1% 454 $5K
92551 <1% 302 $5K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 95 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 90 $3K
90674 <1% 135 $2K
90698 <1% 145 $2K
85018 <1% 712 $2K
90671 <1% 69 $1K
90661 <1% 70 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 56 $805.00
36416 <1% 196 $775.72
83655 <1% 62 $721.10
90670 <1% 80 $512.00
83718 <1% 53 $417.90
99173 <1% 52 $387.40
90651 <1% 34 $349.07
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $297.80
82465 <1% 50 $212.00
90734 <1% 17 $106.24
99174 <1% 12 $89.40
90680 <1% 12 $76.80

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.