Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Spears, Monique

Spears, Monique was paid $824K by Medicaid between Dec 2019 and Nov 2024, across 30 billing codes. Its largest line is 99345, Prolong home eval add 15m — 88% of everything it billed.

33Billing provider infoSPEARS, MONIQUE
OAK BROOK, IL 60523
33aNPI1952945438assigned 10/29/2019
28Total paid$824K
24GClaims17,890
24DCodes billed30
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#18 of 3,353
Median peer was paid$25K
This provider vs. median33×

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$50K$100K2018201920202021202220232024
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
2019623$31K
20207,643$390K
20214,956$241K
20222,579$129K
20231,184$18K
2024incomplete905$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99345 Prolong home eval add 15m 88% 1,700 1,044 $729K
99350 Prolong home eval add 15m 5.6% 130 102 $46K
96127 4.4% 1,890 1,163 $37K
83037 <1% 143 58 $4K
36416 <1% 59 58 $2K
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 55 55 $2K
G0444 Annual depression screening, 5 to 15 minutes <1% 108 108 $2K
99501 <1% 13 13 $1K
82044 <1% 55 54 $932.80
82945 <1% 55 54 $800.80
96161 <1% 13 13 $174.20
1160F <1% 2,464 1,617 $24.64
18 more codes
1159F <1% 2,457 $24.57
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 2,456 $24.56
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,767 $17.67
3016F <1% 1,689 $16.89
1126F <1% 1,246 $12.46
1125F <1% 698 $6.98
3074F <1% 254 $2.54
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) <1% 136 $1.36
2023F <1% 85 $0.85
3078F <1% 84 $0.84
3044F <1% 58 $0.58
3079F <1% 51 $0.51
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 45 $0.45
3075F <1% 39 $0.39
4010F <1% 38 $0.38
1158F <1% 34 $0.34
1170F <1% 34 $0.34
3061F <1% 34 $0.34

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.