Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Danville › NPI 1750875340
NP / PA

Gowan, Nicole

Gowan, Nicole was paid $278K by Medicaid between Sep 2021 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoGOWAN, NICOLE
DANVILLE, IL 61832
33aNPI1750875340assigned 06/18/2018
28Total paid$278K
24GClaims6,730
24DCodes billed15
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#218 of 3,353
Median peer was paid$25K
This provider vs. median11×

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$10K$20K$30K2018201920202021202220232024
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
202153$2K
2022432$17K
20231,696$62K
2024incomplete4,549$197K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 79% 4,417 3,932 $220K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.9% 318 290 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.9% 449 407 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.5% 807 704 $12K
87428 1.3% 56 56 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 77 75 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 50 48 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 70 70 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 32 30 $2K
87634 <1% 13 12 $676.00
81002 <1% 249 230 $642.20
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 46 29 $510.02
3 more codes
87807 <1% 49 $492.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 55 $48.92
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 42 $3.74

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.