Durham, Rachel

Durham, Rachel was paid $46K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 0502F, — 94% of everything it billed.

33Billing provider infoDURHAM, RACHEL
ALTON, IL 62002

33aNPI1730318890assigned 07/10/2009

33bProvider typeObstetrics & Gynecology Physician

28Total paid$46K

24GClaims1,327

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#433 of 911

Median peer was paid$41K

This provider vs. median1.1×

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
2018	155	$6K
2019	63	$3K
2020	48	$2K
2021	299	$13K
2022	127	$3K
2023	608	$16K
2024incomplete	27	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		94%	920	521	$43K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.4%	15	12	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	12	12	$1K
81002		<1%	20	15	$46.80
3074F		0%	174	125	$0.00
36415	Collection of venous blood by venipuncture	0%	13	13	$0.00
3078F		0%	173	119	$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.