NP / PA
Frese, Michele
Frese, Michele was paid $213K by Medicaid between Jul 2021 and Sep 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoFRESE, MICHELE
WAUCONDA, IL 60084
WAUCONDA, IL 60084
33aNPI1700271459assigned 03/31/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$213K
24GClaims7,360
24DCodes billed15
24AFirst – last monthJul 2021 – Sep 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#333 of 3,353
Median peer was paid$25K
This provider vs. median8.6×
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 | |
|---|---|---|---|
| 2021 | 3,017 | $81K | |
| 2022 | 3,095 | $89K | |
| 2023 | 1,248 | $43K |
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 | 64% | 2,825 | 2,235 | $135K |
| 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 | 23% | 658 | 497 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 162 | 123 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 133 | 90 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | 12 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 75 | 61 | $960.20 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | 27 | $714.00 |
| 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% | 13 | 12 | $621.01 |
| 90686 | <1% | 30 | 24 | $449.95 | |
| 90651 | <1% | 21 | 12 | $342.61 | |
| 81002 | <1% | 48 | 38 | $124.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 104 | 94 | $20.52 |
3 more codes
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.