Ettema, Sandra

Ettema, Sandra was paid $56K by Medicaid between Apr 2018 and May 2024, across 5 billing codes. Its largest line is 31575, — 55% of everything it billed.

33Billing provider infoETTEMA, SANDRA
MATTOON, IL 61938

33aNPI1760577902assigned 10/04/2006

33bProvider typeOtolaryngology Physician

28Total paid$56K

24GClaims518

24DCodes billed5

24AFirst – last monthApr 2018 – May 2024

Compared with peers

Next to other Otolaryngology Physician providers in Illinois

Rank by total paid#76 of 221

Median peer was paid$21K

This provider vs. median2.7×

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	15	$162.72
2019	223	$31K
2020	80	$10K
2021	47	$3K
2022	55	$3K
2023	46	$5K
2024incomplete	52	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
31575		55%	244	188	$31K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	22%	38	18	$12K
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	16%	81	61	$9K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.5%	36	33	$3K
95117		3.0%	119	84	$2K

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.