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
SPRING VALLEY, IL 61362
33aNPI1518216779assigned 09/04/2012
33bProvider typeFamily Nurse Practitioner
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
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 | |
|---|---|---|---|
| 2019 | 30 | $75.02 | |
| 2020 | 14 | $158.18 | |
| 2023 | 32 | $257.60 | |
| 2024incomplete | 151 | $8K |
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 | 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.