NP / PA
Berumen, Cecilia
Berumen, Cecilia was paid $354K by Medicaid between Jan 2019 and May 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoBERUMEN, CECILIA
SAINT CHARLES, IL 60174
SAINT CHARLES, IL 60174
33aNPI1548621642assigned 03/16/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$354K
24GClaims4,860
24DCodes billed7
24AFirst – last monthJan 2019 – May 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#137 of 3,353
Median peer was paid$25K
This provider vs. median14×
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 | 572 | $58K | |
| 2020 | 1,691 | $73K | |
| 2021 | 699 | $54K | |
| 2022 | 1,091 | $104K | |
| 2023 | 609 | $43K | |
| 2024incomplete | 198 | $21K |
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 | 60% | 2,470 | 1,540 | $211K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 23% | 686 | 539 | $83K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 7.3% | 1,049 | 493 | $26K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.4% | 487 | 284 | $23K |
| 90836 | 2.2% | 122 | 116 | $8K | |
| 99245 | <1% | 25 | 16 | $3K | |
| 96127 | <1% | 21 | 13 | $14.60 |
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.