Physician
Plavnik, Helen
Plavnik, Helen was paid $996K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPLAVNIK, HELEN
WHEELING, IL 60090
WHEELING, IL 60090
33aNPI1922037910assigned 07/02/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$996K
24GClaims31,236
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Illinois
Rank by total paid#26 of 911
Median peer was paid$41K
This provider vs. median25×
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 | 2,024 | $43K | |
| 2019 | 2,228 | $55K | |
| 2020 | 3,665 | $113K | |
| 2021 | 3,799 | $113K | |
| 2022 | 3,819 | $105K | |
| 2023 | 6,270 | $254K | |
| 2024incomplete | 9,431 | $314K |
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 | 32% | 8,437 | 6,396 | $317K |
| 76830 | Ultrasound, transvaginal | 21% | 5,245 | 4,813 | $205K |
| 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 | 15% | 3,916 | 3,516 | $150K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 14% | 4,719 | 4,467 | $140K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.9% | 698 | 638 | $59K |
| 99385 | 3.2% | 307 | 299 | $31K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 2.1% | 853 | 832 | $21K |
| 58340 | 1.5% | 206 | 181 | $15K | |
| 58100 | 1.4% | 230 | 202 | $14K | |
| 76831 | 1.2% | 216 | 192 | $12K | |
| 96127 | 1.1% | 748 | 651 | $11K | |
| 74740 | <1% | 217 | 191 | $8K |
22 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 51 | $4K |
| 99386 | <1% | 26 | $3K | |
| 58558 | <1% | 13 | $2K | |
| 81025 | <1% | 282 | $2K | |
| 57454 | <1% | 12 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 38 | $894.26 |
| 93975 | <1% | 13 | $834.40 | |
| 99442 | <1% | 15 | $284.70 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 17 | $58.31 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 280 | $46.88 |
| 81002 | <1% | 12 | $31.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 480 | $5.30 |
| 1040F | 0% | 326 | $0.00 | |
| 3725F | 0% | 326 | $0.00 | |
| 3511F | 0% | 13 | $0.00 | |
| 3353F | 0% | 326 | $0.00 | |
| 3354F | 0% | 325 | $0.00 | |
| 3352F | 0% | 326 | $0.00 | |
| 3319F | 0% | 1,001 | $0.00 | |
| 3014F | 0% | 910 | $0.00 | |
| 2060F | 0% | 326 | $0.00 | |
| 1220F | 0% | 326 | $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.