Barton, Susan

Barton, Susan was paid $90K by Medicaid between Apr 2020 and Mar 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.

33Billing provider infoBARTON, SUSAN
HAMMOND, IN 46320

33aNPI1700310950assigned 04/14/2017

33bProvider typeFamily Nurse Practitioner

28Total paid$90K

24GClaims1,891

24DCodes billed12

24AFirst – last monthApr 2020 – Mar 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Indiana

Rank by total paid#40 of 148

Median peer was paid$20K

This provider vs. median4.5×

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
2020	665	$34K
2021	88	$5K
2022	953	$42K
2023	185	$8K

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	23%	440	422	$21K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	376	279	$19K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	18%	342	316	$16K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	13%	152	113	$12K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	6.6%	175	124	$6K
87428		6.6%	93	87	$6K
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	3.5%	43	41	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.5%	85	79	$2K
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	2.5%	29	27	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.8%	103	90	$2K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	16	14	$565.28
81002		<1%	37	37	$96.20

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.