Cain, Joyce

Cain, Joyce was paid $18K by Medicaid between Mar 2018 and Mar 2020, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoCAIN, JOYCE
ROCKFORD, IL 61103

33aNPI1427352277assigned 01/07/2011

33bProvider typeWomen's Health Nurse Practitioner

28Total paid$18K

24GClaims577

24DCodes billed10

24AFirst – last monthMar 2018 – Mar 2020

Compared with peers

Next to other Women's Health Nurse Practitioner providers in Illinois

Rank by total paid#54 of 82

Median peer was paid$50K

This provider vs. median0.4×

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	13	$368.55
2019	440	$14K
2020	124	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	189	178	$7K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	23%	59	53	$4K
J1050	Injection, medroxyprogesterone acetate, 1 mg	13%	46	42	$2K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	11%	52	40	$2K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	11%	52	40	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.7%	79	68	$668.07
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	1.6%	12	12	$297.64
87210		<1%	28	27	$122.20
81025		<1%	29	27	$69.66
81003		<1%	31	30	$65.40

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.