Pogue, Miranda

Pogue, Miranda was paid $144K by Medicaid between Jan 2018 and Jan 2024, across 8 billing codes. Its largest line is 99284, emergency room visit (serious) — 34% of everything it billed.

33Billing provider infoPOGUE, MIRANDA
O FALLON, IL 62269

33aNPI1427324656assigned 04/02/2012

33bProvider typeFamily Nurse Practitioner

28Total paid$144K

24GClaims2,858

24DCodes billed8

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#514 of 3,353

Median peer was paid$25K

This provider vs. median5.8×

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	392	$14K
2019	1,033	$42K
2020	498	$21K
2021	78	$5K
2022	227	$12K
2023	618	$50K
2024incomplete	12	$829.42

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	34%	878	844	$49K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	26%	473	451	$37K
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	14%	482	396	$21K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	14%	629	592	$20K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.9%	154	130	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.1%	113	104	$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	1.5%	72	69	$2K
99307		<1%	57	46	$1K

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.