Caufield, Emily

Caufield, Emily was paid $39K by Medicaid between Feb 2020 and Jun 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoCAUFIELD, EMILY
O FALLON, IL 62269

33aNPI1619515384assigned 12/12/2019

33bProvider typePediatrics Physician

28Total paid$39K

24GClaims787

24DCodes billed5

24AFirst – last monthFeb 2020 – Jun 2021

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#990 of 1,805

Median peer was paid$55K

This provider vs. median0.7×

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
2020	467	$22K
2021	320	$17K

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	53%	307	179	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	348	226	$15K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	3.9%	41	22	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.1%	78	49	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	13	12	$489.64

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.