Sander, Gretchen

Sander, Gretchen was paid $102K by Medicaid between Jan 2018 and May 2019, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoSANDER, GRETCHEN
COLLINSVILLE, IL 62234

33aNPI1427256486assigned 07/10/2007

33bProvider typePediatrics Physician

28Total paid$102K

24GClaims2,362

24DCodes billed15

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#729 of 1,805

Median peer was paid$55K

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	1,360	$59K
2019	1,002	$43K

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	43%	625	550	$43K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	543	475	$24K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.5%	130	112	$10K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	9.5%	143	135	$10K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.6%	243	222	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	3.5%	128	114	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.8%	182	157	$3K
92567		1.6%	104	88	$2K
96127		<1%	63	55	$1K
90680		<1%	57	52	$628.13
90698		<1%	45	41	$574.08
90670		<1%	45	40	$480.64

3 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	$333.45
99173		<1%	29	$209.81
90744		<1%	12	$70.40

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.