Lock, Susan

Lock, Susan was paid $28K by Medicaid between Mar 2019 and Jan 2023, across 4 billing codes. Its largest line is 0502F, — 60% of everything it billed.

33Billing provider infoLOCK, SUSAN
DECATUR, IL 62526

33aNPI1801236146assigned 07/01/2013

33bProvider typeAdvanced Practice Midwife

28Total paid$28K

24GClaims1,014

24DCodes billed4

24AFirst – last monthMar 2019 – Jan 2023

Compared with peers

Next to other Advanced Practice Midwife providers in Illinois

Rank by total paid#90 of 172

Median peer was paid$30K

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
2019	112	$3K
2020	475	$15K
2021	224	$6K
2022	188	$4K
2023	15	$294.47

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		60%	380	347	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	149	113	$7K
59025	Fetal non-stress test	17%	473	389	$5K
81003		<1%	12	12	$24.09

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.