Semko, Leah

Semko, Leah was paid $617K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoSEMKO, LEAH
CHICAGO, IL 60608

33aNPI1811357197assigned 03/01/2016

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$617K

24GClaims9,171

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Illinois

Rank by total paid#18 of 355

Median peer was paid$56K

This provider vs. median11×

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	979	$39K
2019	1,877	$114K
2020	1,805	$128K
2021	1,296	$88K
2022	1,334	$54K
2023	1,022	$93K
2024incomplete	858	$101K

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	47%	2,984	2,469	$291K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	4,303	3,474	$219K
90792	Psychiatric diagnostic evaluation with medical services	13%	622	469	$78K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.1%	1,109	1,015	$25K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	141	93	$4K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	12	12	$186.96

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.