Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Highland Park › NPI 1699205724
Physician

Hailey, Claire

Hailey, Claire was paid $78K by Medicaid between Aug 2020 and Apr 2024, across 6 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 34% of everything it billed.

33Billing provider infoHAILEY, CLAIRE
HIGHLAND PARK, IL 60035
33aNPI1699205724assigned 06/12/2017
33bProvider typePediatrics Physician
28Total paid$78K
24GClaims1,218
24DCodes billed6
24AFirst – last monthAug 2020 – Apr 2024
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#816 of 1,805
Median peer was paid$55K
This provider vs. median1.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
202061$4K
202165$5K
2022406$27K
2023434$26K
2024incomplete252$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 34% 219 210 $26K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 18% 231 99 $14K
99238 Hospital discharge day management, 30 minutes or less 18% 321 298 $14K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 16% 301 146 $13K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.8% 100 85 $7K
99222 Initial hospital care, per day, moderate complexity 4.8% 46 41 $4K

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.