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

Baustian, Loretta

Baustian, Loretta was paid $425K by Medicaid between Jan 2018 and Jun 2022, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoBAUSTIAN, LORETTA
QUINCY, IL 62301
33aNPI1538153408assigned 09/07/2005
33bProvider typePediatrics Physician
28Total paid$425K
24GClaims9,090
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#338 of 1,805
Median peer was paid$55K
This provider vs. median7.7×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,510$79K
20192,592$116K
20202,183$97K
20211,934$86K
2022871$47K
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 34% 2,065 1,759 $143K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17% 963 843 $73K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17% 1,088 944 $72K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 1,614 1,422 $68K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.3% 537 501 $40K
90670 1.3% 602 563 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 332 308 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.0% 63 58 $4K
90686 <1% 574 520 $4K
90723 <1% 404 337 $4K
90680 <1% 311 248 $2K
90647 <1% 300 251 $2K
8 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 44 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 27 $615.60
83655 <1% 35 $415.82
90633 <1% 41 $263.05
36416 <1% 26 $102.66
90651 <1% 13 $83.20
85018 <1% 35 $78.65
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 16 $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.