NP / PA
Rouse, Erica
Rouse, Erica was paid $48K by Medicaid between Nov 2018 and Jul 2020, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 56% of everything it billed.
33Billing provider infoROUSE, ERICA
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1659864445assigned 06/07/2018
33bProvider typeFamily Nurse Practitioner
28Total paid$48K
24GClaims751
24DCodes billed5
24AFirst – last monthNov 2018 – Jul 2020
Compared with peers
Next to other Family Nurse Practitioner providers in Missouri
Rank by total paid#136 of 745
Median peer was paid$11K
This provider vs. median4.5×
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 | 43 | $3K | |
| 2019 | 550 | $37K | |
| 2020 | 158 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 56% | 362 | 359 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 248 | 216 | $11K |
| 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 | 14% | 63 | 63 | $7K |
| 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 | 3.7% | 25 | 25 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 53 | 53 | $2K |
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.