Mathews, Michelle

Mathews, Michelle was paid $50K by Medicaid between Jan 2018 and Nov 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoMATHEWS, MICHELLE
MATTOON, IL 61938

33aNPI1902101355assigned 01/17/2011

33bProvider typeFamily Nurse Practitioner

28Total paid$50K

24GClaims939

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,215 of 3,353

Median peer was paid$25K

This provider vs. median2.0×

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
2018	314	$13K
2019	119	$6K
2020	187	$11K
2021	168	$11K
2022	107	$7K
2023	44	$3K

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	70%	586	526	$35K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	20%	246	234	$10K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	5.4%	49	47	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.1%	21	13	$1K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.8%	18	15	$877.65
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	19	19	$411.40

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.