NP / PA
Pritchett, Kathleen
Pritchett, Kathleen was paid $156K by Medicaid between Mar 2019 and May 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoPRITCHETT, KATHLEEN
DECATUR, IL 62526
DECATUR, IL 62526
33aNPI1629585237assigned 01/04/2018
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$156K
24GClaims2,195
24DCodes billed7
24AFirst – last monthMar 2019 – May 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Illinois
Rank by total paid#100 of 355
Median peer was paid$56K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2019 | 39 | $2K | |
| 2020 | 296 | $34K | |
| 2021 | 972 | $63K | |
| 2022 | 703 | $50K | |
| 2023 | 104 | $4K | |
| 2024incomplete | 81 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 1,310 | 987 | $82K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 19% | 190 | 175 | $30K |
| 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 | 13% | 193 | 138 | $20K |
| 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 | 7.5% | 72 | 48 | $12K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 5.7% | 379 | 203 | $9K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.8% | 32 | 27 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 19 | 12 | $869.83 |
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.