Carlson, Monica
Carlson, Monica was paid $7K by Medicaid between Apr 2023 and Aug 2024, across 2 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 94% of everything it billed.
33Billing provider infoCARLSON, MONICA
EDWARDSVILLE, IL 62025
EDWARDSVILLE, IL 62025
33aNPI1609126374assigned 09/10/2012
33bProvider typeOccupational Therapist
28Total paid$7K
24GClaims144
24DCodes billed2
24AFirst – last monthApr 2023 – Aug 2024
Compared with peers
Next to other Occupational Therapist providers in Illinois
Rank by total paid#220 of 289
Median peer was paid$24K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 42 | $1K | |
| 2024incomplete | 102 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 94% | 123 | 63 | $6K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 5.9% | 21 | 13 | $399.53 |
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.