Sexton, Michelle

Sexton, Michelle was paid $736K by Medicaid between Jan 2018 and Apr 2023, across 9 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 74% of everything it billed.

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#27 of 3,353

Median peer was paid$25K

This provider vs. median30×

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	41	$0.00
2021	9,971	$491K
2022	6,862	$240K
2023	229	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	74%	7,234	6,236	$541K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	10%	3,180	3,019	$75K
99000		7.8%	2,448	2,353	$57K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	7.8%	2,310	2,244	$57K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	1,561	1,108	$6K
1170F		0%	14	14	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	17	15	$0.00
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	0%	315	302	$0.00
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	0%	24	23	$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.