Managed care
Seeham, Gladys
Seeham, Gladys was paid $27K by Medicaid between Jun 2020 and Mar 2022, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoSEEHAM, GLADYS
EVANSTON, IL 60201
EVANSTON, IL 60201
33aNPI1508318148assigned 10/31/2016
33bProvider typePoint of Service
28Total paid$27K
24GClaims1,288
24DCodes billed9
24AFirst – last monthJun 2020 – Mar 2022
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 | |
|---|---|---|---|
| 2020 | 370 | $4K | |
| 2021 | 708 | $15K | |
| 2022 | 210 | $9K |
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 | 66% | 459 | 385 | $18K |
| 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 | 26% | 118 | 107 | $7K |
| 96127 | 6.0% | 119 | 111 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 29 | 27 | $677.78 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 392 | 342 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 71 | 59 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 14 | 12 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 71 | 59 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 15 | 12 | $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.