Zarth, Nicole

Zarth, Nicole was paid $103K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99283, emergency room visit (moderate) — 59% of everything it billed.

33Billing provider infoZARTH, NICOLE
ADDISON, IL 60101

33aNPI1760926109assigned 12/04/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$103K

24GClaims2,730

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#734 of 3,353

Median peer was paid$25K

This provider vs. median4.2×

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	291	$9K
2019	777	$26K
2020	666	$21K
2021	546	$26K
2023	203	$9K
2024incomplete	247	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	59%	1,851	1,530	$60K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	429	353	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	253	226	$13K
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	3.2%	46	45	$3K
87428		2.2%	36	35	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.6%	103	90	$2K
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%	12	12	$483.53

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.