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

Fordham, Sara

Fordham, Sara was paid $33K by Medicaid between Feb 2020 and Jan 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoFORDHAM, SARA
DIXON, IL 61021
33aNPI1871141465assigned 08/28/2019
28Total paid$33K
24GClaims567
24DCodes billed4
24AFirst – last monthFeb 2020 – Jan 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,497 of 3,353
Median peer was paid$25K
This provider vs. median1.3×

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
202028$824.67
2022203$12K
2023324$19K
2024incomplete12$567.01
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 62% 288 265 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 249 233 $11K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.2% 14 14 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 16 16 $403.40

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.