NP / PA
Subyantoro, Tamarra
Subyantoro, Tamarra was paid $259K by Medicaid between Aug 2021 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoSUBYANTORO, TAMARRA
PEORIA, IL 61614
PEORIA, IL 61614
33aNPI1942842018assigned 10/10/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$259K
24GClaims5,408
24DCodes billed15
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#243 of 3,353
Median peer was paid$25K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2021 | 347 | $11K | |
| 2022 | 1,432 | $63K | |
| 2023 | 1,685 | $72K | |
| 2024incomplete | 1,944 | $113K |
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 | 47% | 1,590 | 1,460 | $123K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 2,339 | 2,247 | $103K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.4% | 359 | 324 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 319 | 306 | $5K |
| 87428 | 1.6% | 64 | 61 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 87 | 82 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 106 | 104 | $2K |
| 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% | 28 | 28 | $1K |
| 81025 | <1% | 198 | 177 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | 20 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | 23 | $719.90 |
| 81002 | <1% | 218 | 198 | $561.60 |
3 more codes
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.