Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hoehn, Karen

Hoehn, Karen was paid $82K by Medicaid between May 2018 and Dec 2024, across 24 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 49% of everything it billed.

33Billing provider infoHOEHN, KAREN
CHICAGO, IL 60612
33aNPI1912057951assigned 01/11/2007
28Total paid$82K
24GClaims2,174
24DCodes billed24
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers

Next to other Pediatric Critical Care Medicine Physician providers in Illinois

Rank by total paid#5 of 48
Median peer was paid$10K
This provider vs. median7.8×

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$10K$15K2018201920202021202220232024
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
2018107$4K
2019236$8K
2020272$11K
2021209$11K
202299$11K
20231,139$32K
2024incomplete112$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 49% 903 401 $40K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.4% 146 132 $7K
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 8.1% 83 73 $7K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 5.1% 13 12 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.5% 54 53 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.3% 50 48 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.5% 41 41 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3.2% 26 24 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.9% 118 104 $2K
92551 2.5% 135 120 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.6% 52 52 $1K
99252 1.5% 35 27 $1K
12 more codes
99173 <1% 97 $696.59
83655 <1% 58 $687.88
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 102 $585.48
90633 <1% 31 $518.01
90670 <1% 29 $417.75
96127 <1% 28 $408.80
90651 <1% 24 $384.33
36415 Collection of venous blood by venipuncture <1% 79 $209.10
80053 Comprehensive metabolic panel <1% 16 $148.39
83036 Hemoglobin; glycosylated (A1C) <1% 15 $88.20
80061 Lipid panel <1% 13 $72.48
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 26 $0.00

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.