Enge-Gilton, Sonja

Enge-Gilton, Sonja was paid $5K by Medicaid between Jan 2018 and Apr 2024, across 6 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 30% of everything it billed.

33Billing provider infoENGE-GILTON, SONJA
CHICAGO HEIGHTS, IL 60411

33aNPI1659823458assigned 10/27/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$5K

24GClaims649

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#2,521 of 3,353

Median peer was paid$25K

This provider vs. median0.2×

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	583	$4K
2024incomplete	66	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	30%	66	61	$2K
99310	Prolong nursin fac eval 15m	30%	230	150	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	17%	148	109	$905.94
99308	Subsequent nursing facility care, per day, straightforward	9.3%	101	79	$510.70
99306	Prolong nursin fac eval 15m	7.8%	29	28	$429.30
99307		6.6%	75	45	$364.76

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.