NP / PA
Walton, Rachel
Walton, Rachel was paid $30K by Medicaid between Aug 2021 and May 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoWALTON, RACHEL
MATTOON, IL 61938
MATTOON, IL 61938
33aNPI1699366252assigned 01/27/2021
33bProvider typeFamily Nurse Practitioner
28Total paid$30K
24GClaims711
24DCodes billed6
24AFirst – last monthAug 2021 – May 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#1,554 of 3,353
Median peer was paid$25K
This provider vs. median1.2×
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 | 280 | $11K | |
| 2022 | 177 | $8K | |
| 2023 | 254 | $12K |
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 | 41% | 350 | 334 | $13K |
| 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 | 33% | 175 | 163 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 73 | 68 | $3K |
| 87428 | 5.0% | 24 | 24 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.9% | 43 | 41 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.8% | 46 | 44 | $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.