Holt, Roxane

Holt, Roxane was paid $182K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 27% of everything it billed.

33Billing provider infoHOLT, ROXANE
NEW LENOX, IL 60451

33aNPI1790988905assigned 06/06/2007

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$182K

24GClaims4,691

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Illinois

Rank by total paid#39 of 70

Median peer was paid$210K

This provider vs. median0.9×

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	224	$11K
2019	237	$6K
2020	180	$6K
2021	841	$33K
2022	1,169	$47K
2023	1,225	$46K
2024incomplete	815	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	27%	1,285	1,196	$50K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	21%	565	535	$38K
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%	480	418	$24K
76819	Fetal biophysical profile; without non-stress testing	13%	878	791	$24K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12%	877	782	$22K
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	8.2%	254	180	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	82	75	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.5%	126	75	$3K
99243		<1%	15	13	$1K
59025	Fetal non-stress test	<1%	111	97	$813.70
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	18	13	$262.40

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.