Bertels, Karen

Bertels, Karen was paid $114K by Medicaid between Aug 2018 and Aug 2022, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 75% of everything it billed.

33Billing provider infoBERTELS, KAREN
BELLEVILLE, IL 62226

33aNPI1548657737assigned 04/25/2015

33bProvider typeGeneral Practice Physician

28Total paid$114K

24GClaims1,991

24DCodes billed3

24AFirst – last monthAug 2018 – Aug 2022

Compared with peers

Next to other General Practice Physician providers in Illinois

Rank by total paid#20 of 74

Median peer was paid$24K

This provider vs. median4.7×

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

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	82	$4K
2019	787	$37K
2020	976	$60K
2021	107	$10K
2022	39	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	75%	1,291	1,080	$85K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	17%	415	321	$19K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	8.0%	285	239	$9K

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.