Wagner, Grace

Wagner, Grace was paid $98K by Medicaid between Oct 2021 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoWAGNER, GRACE
PEORIA, IL 61615

33aNPI1871164418assigned 07/06/2021

33bProvider typePediatric Nurse Practitioner

28Total paid$98K

24GClaims2,653

24DCodes billed20

24AFirst – last monthOct 2021 – Nov 2024

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Illinois

Rank by total paid#78 of 238

Median peer was paid$38K

This provider vs. median2.6×

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
2021	246	$7K
2022	1,549	$48K
2023	642	$29K
2024incomplete	216	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	54%	1,409	1,233	$53K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	15%	289	248	$15K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.4%	129	107	$6K
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	5.6%	76	71	$5K
87428		5.0%	76	57	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.6%	114	85	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.6%	101	86	$2K
90686		1.4%	86	62	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.0%	26	21	$985.38
90648		<1%	58	40	$890.33
90734		<1%	48	33	$777.18
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	19	17	$671.27

8 more codes

90670		<1%	38	$567.72
83655		<1%	40	$462.78
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	13	$391.25
90633		<1%	21	$334.31
90651		<1%	19	$305.04
90723		<1%	17	$284.07
90680		<1%	14	$233.94
85018		<1%	60	$139.20

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.