Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Payne, Carolyn

Payne, Carolyn was paid $223K by Medicaid between Feb 2023 and Oct 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoPAYNE, CAROLYN
CHICAGO, IL 60622
33aNPI1508247602assigned 06/15/2015
33bProvider typePediatrics Physician
28Total paid$223K
24GClaims4,516
24DCodes billed25
24AFirst – last monthFeb 2023 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#518 of 1,805
Median peer was paid$55K
This provider vs. median4.0×

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$10K$20K$30K2018201920202021202220232024
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
20231,276$58K
2024incomplete3,240$165K
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 28% 738 539 $62K
90716 15% 404 288 $33K
90651 11% 230 165 $24K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 8.0% 231 173 $18K
90746 6.8% 218 142 $15K
90713 6.0% 437 303 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.2% 206 160 $12K
90686 3.6% 428 305 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.3% 115 94 $7K
90677 2.6% 27 14 $6K
90739 2.3% 34 33 $5K
90715 2.3% 217 162 $5K
13 more codes
90633 1.8% 239 $4K
91321 1.8% 234 $4K
90656 1.1% 129 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 28 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 15 $1K
90744 <1% 37 $619.11
0124A <1% 12 $507.14
91322 <1% 18 $301.62
90461 0% 21 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 112 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 36 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 337 $0.00
36415 Collection of venous blood by venipuncture 0% 13 $0.00

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.