Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Decatur › NPI 1427598903
NP / PA

Cross, Jamie

Cross, Jamie was paid $186K by Medicaid between Oct 2019 and Aug 2023, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoCROSS, JAMIE
DECATUR, IL 62526
33aNPI1427598903assigned 03/02/2017
33bProvider typeNurse Practitioner
28Total paid$186K
24GClaims3,948
24DCodes billed10
24AFirst – last monthOct 2019 – Aug 2023
Compared with peers

Next to other Nurse Practitioner providers in Illinois

Rank by total paid#172 of 1,687
Median peer was paid$22K
This provider vs. median8.4×

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

$0$20K$40K2018201920202021202220232024
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
201974$3K
2020288$14K
2021341$15K
20221,541$78K
20231,704$77K
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% 1,043 955 $55K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 19% 715 694 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 952 909 $34K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 14% 571 555 $26K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12% 315 307 $22K
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 3.6% 86 83 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.3% 56 55 $2K
87634 1.3% 46 45 $2K
81025 <1% 144 141 $719.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 20 12 $216.31

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.