Sousa, Denise

Sousa, Denise was paid $114K by Medicaid between Feb 2019 and Dec 2024, across 4 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 92% of everything it billed.

33Billing provider infoSOUSA, DENISE
URBANA, IL 61801

33aNPI1851709455assigned 07/27/2014

33bProvider typeObstetrics & Gynecology Physician

28Total paid$114K

24GClaims594

24DCodes billed4

24AFirst – last monthFeb 2019 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#248 of 911

Median peer was paid$41K

This provider vs. median2.8×

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
2019	44	$41K
2020	61	$54K
2021	13	$11K
2023	100	$767.09
2024incomplete	376	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	92%	118	109	$105K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	3.8%	58	43	$4K
59025	Fetal non-stress test	2.7%	391	336	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.2%	27	27	$1K

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.