Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Jones, Elaine

Jones, Elaine was paid $133K by Medicaid between Jun 2021 and Sep 2023, across 2 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 90% of everything it billed.

33Billing provider infoJONES, ELAINE
CHICAGO, IL 60638
33aNPI1851976609assigned 03/12/2021
33bProvider typeOccupational Therapist
28Total paid$133K
24GClaims1,784
24DCodes billed2
24AFirst – last monthJun 2021 – Sep 2023
Compared with peers

Next to other Occupational Therapist providers in Illinois

Rank by total paid#52 of 289
Median peer was paid$24K
This provider vs. median5.4×

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$5.0K$10K2018201920202021202220232024
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
2021562$41K
2022916$67K
2023306$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 90% 1,555 464 $119K
99499 10% 229 212 $14K

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.