Morgan, Elaine

Morgan, Elaine was paid $135K by Medicaid between Feb 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.

33Billing provider infoMORGAN, ELAINE
CHICAGO, IL 60611

33aNPI1659349074assigned 03/10/2006

33bProvider typePediatric Hematology & Oncology Physician

28Total paid$135K

24GClaims2,180

24DCodes billed6

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Pediatric Hematology & Oncology Physician providers in Illinois

Rank by total paid#11 of 63

Median peer was paid$29K

This provider vs. median4.6×

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	392	$17K
2019	653	$40K
2020	536	$32K
2021	92	$7K
2022	196	$16K
2023	220	$14K
2024incomplete	91	$8K

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	64%	1,175	760	$87K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	28%	654	223	$38K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.7%	251	111	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.1%	59	39	$3K
99238	Hospital discharge day management, 30 minutes or less	<1%	29	27	$901.43
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$767.41

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.