Phelan, Karen

Phelan, Karen was paid $274K by Medicaid between Jan 2018 and Oct 2022, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoPHELAN, KAREN
ROCKFORD, IL 61107

33aNPI1801871017assigned 12/09/2005

33bProvider typePediatrics Physician

28Total paid$274K

24GClaims5,507

24DCodes billed24

24AFirst – last monthJan 2018 – Oct 2022

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#448 of 1,805

Median peer was paid$55K

This provider vs. median5.0×

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	1,004	$56K
2019	1,397	$71K
2020	753	$40K
2021	1,216	$52K
2022	1,137	$56K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	34%	1,356	1,272	$93K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	15%	569	513	$40K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	900	866	$39K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	446	427	$37K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.6%	262	253	$21K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.3%	134	130	$12K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	3.9%	247	231	$11K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.5%	100	93	$7K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.1%	217	214	$3K
90670		<1%	287	271	$3K
90686		<1%	297	275	$2K
90734		<1%	86	82	$2K

12 more codes

96127		<1%	66	$993.71
90710		<1%	52	$952.41
90647		<1%	57	$655.20
90651		<1%	35	$641.42
90696		<1%	42	$523.56
90715		<1%	47	$485.85
90633		<1%	51	$445.64
90698		<1%	56	$369.47
90723		<1%	33	$316.68
90680		<1%	29	$281.74
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	12	$210.66
36415	Collection of venous blood by venipuncture	0%	126	$0.00

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.