Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Barnes, Caroline

Barnes, Caroline was paid $8K by Medicaid between Dec 2019 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoBARNES, CAROLINE
SPRING VALLEY, IL 61362
33aNPI1518216779assigned 09/04/2012
28Total paid$8K
24GClaims227
24DCodes billed6
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#2,340 of 3,353
Median peer was paid$25K
This provider vs. median0.3×

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$500$1.0K$1.5K2018201920202021202220232024
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
201930$75.02
202014$158.18
202332$257.60
2024incomplete151$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 59% 109 93 $5K
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 35% 42 37 $3K
99308 Subsequent nursing facility care, per day, straightforward 2.4% 30 25 $196.00
80053 Comprehensive metabolic panel 2.0% 16 12 $165.76
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 16 13 $91.84
99490 Ccm add 20min <1% 14 14 $37.20

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.