NP / PA
Macias, Carolyn
Macias, Carolyn was paid $372K by Medicaid between Jul 2022 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoMACIAS, CAROLYN
BOURBONNAIS, IL 60914
BOURBONNAIS, IL 60914
33aNPI1548994247assigned 07/11/2022
33bProvider typeFamily Nurse Practitioner
28Total paid$372K
24GClaims8,434
24DCodes billed11
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#129 of 3,353
Median peer was paid$25K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2022 | 1,090 | $47K | |
| 2023 | 3,602 | $155K | |
| 2024incomplete | 3,742 | $171K |
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 | 32% | 1,562 | 1,449 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 2,414 | 2,136 | $120K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 14% | 1,322 | 1,228 | $53K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.0% | 1,210 | 1,036 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.5% | 1,071 | 983 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 293 | 274 | $14K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 135 | 133 | $11K |
| 87807 | <1% | 76 | 75 | $764.56 | |
| 81025 | <1% | 140 | 118 | $756.96 | |
| 81002 | <1% | 197 | 181 | $499.79 | |
| 99000 | <1% | 14 | 14 | $375.36 |
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.