Carnes, Kathryn

Carnes, Kathryn was paid $272K by Medicaid between Mar 2019 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoCARNES, KATHRYN
SPRINGFIELD, IL 62704

33aNPI1861965873assigned 01/03/2019

33bProvider typeFamily Nurse Practitioner

28Total paid$272K

24GClaims5,158

24DCodes billed6

24AFirst – last monthMar 2019 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#225 of 3,353

Median peer was paid$25K

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
2019	631	$30K
2020	725	$26K
2021	1,092	$56K
2022	1,070	$64K
2023	911	$49K
2024incomplete	729	$47K

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	54%	2,354	2,147	$147K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	44%	2,492	2,291	$120K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	202	185	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	41	30	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	23	14	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	46	46	$550.66

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.