Schmees, Gladys

Schmees, Gladys was paid $183K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 40% of everything it billed.

33Billing provider infoSCHMEES, GLADYS
O FALLON, IL 62269

33aNPI1679939516assigned 01/07/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$183K

24GClaims2,980

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#389 of 3,353

Median peer was paid$25K

This provider vs. median7.4×

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
2018	308	$11K
2019	331	$13K
2020	363	$18K
2021	735	$45K
2022	505	$33K
2023	317	$25K
2024incomplete	421	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	40%	1,110	1,001	$73K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	28%	527	474	$51K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	14%	730	661	$25K
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	11%	380	342	$20K
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	5.3%	144	123	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.0%	56	55	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	33	32	$1K

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.