Physician
Carroll, Elaine
Carroll, Elaine was paid $97K by Medicaid between Feb 2020 and Oct 2024, across 13 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 40% of everything it billed.
33Billing provider infoCARROLL, ELAINE
PONTIAC, IL 61764
PONTIAC, IL 61764
33aNPI1598739492assigned 02/15/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$97K
24GClaims2,246
24DCodes billed13
24AFirst – last monthFeb 2020 – Oct 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Illinois
Rank by total paid#49 of 70
Median peer was paid$210K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 1,304 | $50K | |
| 2021 | 823 | $39K | |
| 2022 | 50 | $3K | |
| 2024incomplete | 69 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 40% | 547 | 415 | $39K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 17% | 198 | 159 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 413 | 251 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 183 | 118 | $9K |
| 76819 | Fetal biophysical profile; without non-stress testing | 8.5% | 187 | 77 | $8K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.9% | 85 | 53 | $6K |
| 76820 | 3.6% | 56 | 38 | $3K | |
| 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 | 1.9% | 26 | 24 | $2K |
| 81003 | 1.0% | 462 | 237 | $1K | |
| 90686 | <1% | 45 | 34 | $803.83 | |
| 90715 | <1% | 17 | 14 | $582.76 | |
| 99241 | <1% | 12 | 12 | $431.09 |
1 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | $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.