Adams, Susan

Adams, Susan was paid $100K by Medicaid between Apr 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoADAMS, SUSAN
MACOMB, IL 61455

33aNPI1922004332assigned 06/22/2005

33bProvider typeNurse Practitioner

28Total paid$100K

24GClaims3,771

24DCodes billed11

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Nurse Practitioner providers in Illinois

Rank by total paid#322 of 1,687

Median peer was paid$22K

This provider vs. median4.5×

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	377	$9K
2019	795	$28K
2020	779	$33K
2023	690	$8K
2024incomplete	1,130	$21K

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	68%	1,651	1,479	$68K
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	24%	467	422	$24K
96127		3.4%	139	136	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.0%	159	149	$3K
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	<1%	12	12	$913.20
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%	13	13	$617.11
90686		<1%	22	14	$184.49
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	322	308	$0.00
1159F		0%	205	191	$0.00
1160F		0%	345	323	$0.00
G8433	Screening for depression not completed, documented patient or medical reason	0%	436	403	$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.