Physician
Sprawka, Nicole
Sprawka, Nicole was paid $221K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 39% of everything it billed.
33Billing provider infoSPRAWKA, NICOLE
MAYWOOD, IL 60153
MAYWOOD, IL 60153
33aNPI1659534055assigned 07/07/2008
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$221K
24GClaims6,503
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Illinois
Rank by total paid#34 of 70
Median peer was paid$210K
This provider vs. median1.1×
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 | 933 | $26K | |
| 2019 | 805 | $24K | |
| 2020 | 954 | $25K | |
| 2021 | 903 | $30K | |
| 2022 | 1,248 | $48K | |
| 2023 | 958 | $34K | |
| 2024incomplete | 702 | $34K |
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 | 39% | 2,646 | 2,330 | $86K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 22% | 908 | 800 | $48K |
| 76819 | Fetal biophysical profile; without non-stress testing | 19% | 1,953 | 1,306 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 282 | 229 | $13K |
| 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 | 5.4% | 147 | 126 | $12K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.9% | 239 | 197 | $9K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.7% | 193 | 168 | $6K |
| 76801 | 2.3% | 135 | 125 | $5K |
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.