Prifti, Entiona

Prifti, Entiona was paid $55K by Medicaid between May 2022 and Mar 2024, across 7 billing codes. Its largest line is 99283, emergency room visit (moderate) — 42% of everything it billed.

33Billing provider infoPRIFTI, ENTIONA
MELROSE PARK, IL 60160

33aNPI1851052203assigned 01/07/2022

33bProvider typeFamily Nurse Practitioner

28Total paid$55K

24GClaims1,140

24DCodes billed7

24AFirst – last monthMay 2022 – Mar 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,137 of 3,353

Median peer was paid$25K

This provider vs. median2.2×

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
2022	402	$14K
2023	699	$39K
2024incomplete	39	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	42%	625	605	$23K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	33%	274	259	$18K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	16%	93	87	$9K
99282	Emergency department visit for the evaluation and management, low to moderate severity	5.0%	108	105	$3K
99244	Office or other outpatient consultation, moderate to high complexity	2.4%	14	13	$1K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	13	13	$137.15
S9083	Global fee urgent care centers	0%	13	13	$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.