Physician
Spencer, Nicole
Spencer, Nicole was paid $220K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoSPENCER, NICOLE
CHICAGO, IL 60625
CHICAGO, IL 60625
33aNPI1518123520assigned 07/30/2008
33bProvider typeNeurology Physician
28Total paid$220K
24GClaims5,619
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Illinois
Rank by total paid#22 of 371
Median peer was paid$18K
This provider vs. median12×
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 | 325 | $11K | |
| 2019 | 1,025 | $44K | |
| 2020 | 705 | $30K | |
| 2021 | 866 | $34K | |
| 2022 | 889 | $35K | |
| 2023 | 929 | $31K | |
| 2024incomplete | 880 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 1,405 | 1,237 | $66K |
| 95886 | 23% | 1,559 | 1,423 | $51K | |
| 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 | 18% | 734 | 669 | $40K |
| 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% | 1,295 | 1,251 | $39K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 251 | 243 | $10K |
| 95909 | 2.6% | 134 | 122 | $6K | |
| 95911 | 1.5% | 50 | 44 | $3K | |
| 99254 | 1.2% | 38 | 36 | $3K | |
| 95816 | <1% | 61 | 56 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 46 | 42 | $1K |
| 95910 | <1% | 15 | 15 | $674.93 | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 13 | 12 | $151.89 |
1 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 18 | $49.20 |
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.