Welsh, Abby
Welsh, Abby was paid $60K by Medicaid between Mar 2023 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoWELSH, ABBY
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
33aNPI1801358502assigned 04/02/2019
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$60K
24GClaims1,152
24DCodes billed6
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#333 of 981
Median peer was paid$27K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2023 | 614 | $28K | |
| 2024incomplete | 538 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 449 | 392 | $23K |
| 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 | 24% | 179 | 155 | $15K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 170 | 157 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 79 | 77 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.7% | 262 | 248 | $5K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 13 | 12 | $130.00 |
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.