NP / PA
Hansom, Diesawit
Hansom, Diesawit was paid $39K by Medicaid between May 2023 and Mar 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoHANSOM, DIESAWIT
LIBERTYVILLE, IL 60048
LIBERTYVILLE, IL 60048
33aNPI1689391633assigned 10/20/2022
33bProvider typeFamily Nurse Practitioner
28Total paid$39K
24GClaims1,021
24DCodes billed12
24AFirst – last monthMay 2023 – Mar 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#1,398 of 3,353
Median peer was paid$25K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2023 | 993 | $37K | |
| 2024incomplete | 28 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 250 | 232 | $11K |
| 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 | 25% | 144 | 138 | $10K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 13% | 126 | 126 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 76 | 75 | $4K |
| 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 | 8.3% | 40 | 37 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.6% | 72 | 72 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.0% | 125 | 122 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.6% | 14 | 13 | $1K |
| 81025 | <1% | 58 | 56 | $293.13 | |
| 81002 | <1% | 88 | 84 | $220.92 | |
| 87807 | <1% | 14 | 14 | $140.84 | |
| S9083 | Global fee urgent care centers | 0% | 14 | 13 | $0.00 |
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.