NP / PA
Defabio, Julie
Defabio, Julie was paid $26K by Medicaid between May 2019 and Feb 2020, across 3 billing codes. Its largest line is 99283, emergency room visit (moderate) — 69% of everything it billed.
33Billing provider infoDEFABIO, JULIE
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
33aNPI1922518083assigned 10/03/2017
33bProvider typePediatric Nurse Practitioner
28Total paid$26K
24GClaims269
24DCodes billed3
24AFirst – last monthMay 2019 – Feb 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Missouri
Rank by total paid#84 of 212
Median peer was paid$13K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2019 | 180 | $16K | |
| 2020 | 89 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 69% | 194 | 192 | $18K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 25% | 45 | 45 | $7K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 5.5% | 30 | 29 | $1K |
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.