NP / PA
Riley, Heidi
Riley, Heidi was paid $61K by Medicaid between May 2022 and Dec 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoRILEY, HEIDI
GALESBURG, IL 61401
GALESBURG, IL 61401
33aNPI1497415152assigned 12/22/2021
33bProvider typeFamily Nurse Practitioner
28Total paid$61K
24GClaims2,165
24DCodes billed4
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#1,066 of 3,353
Median peer was paid$25K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2022 | 589 | $19K | |
| 2023 | 1,114 | $28K | |
| 2024incomplete | 462 | $14K |
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 | 88% | 1,779 | 1,706 | $54K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.1% | 321 | 308 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 53 | 51 | $2K |
| 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% | 12 | 12 | $459.30 |
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.