Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Monge, Heather

Monge, Heather was paid $41K by Medicaid between Nov 2020 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoMONGE, HEATHER
GURNEE, IL 60031
33aNPI1841819000assigned 04/08/2020
28Total paid$41K
24GClaims780
24DCodes billed4
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,365 of 3,353
Median peer was paid$25K
This provider vs. median1.6×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202020$954.29
2021167$6K
2022305$17K
2023235$14K
2024incomplete53$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 71% 401 371 $29K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 187 149 $9K
90686 6.9% 178 150 $3K
90656 <1% 14 13 $237.87

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.