NP / PA
Prater, Erica
Prater, Erica was paid $109K by Medicaid between Jan 2021 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoPRATER, ERICA
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
33aNPI1679118616assigned 11/13/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$109K
24GClaims3,060
24DCodes billed3
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#697 of 3,353
Median peer was paid$25K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2021 | 727 | $30K | |
| 2022 | 808 | $29K | |
| 2023 | 855 | $25K | |
| 2024incomplete | 670 | $25K |
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 | 52% | 1,218 | 1,183 | $57K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 32% | 652 | 595 | $35K |
| 95251 | 15% | 1,190 | 1,152 | $17K |
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.