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
OAK BROOK, IL 60523
33aNPI1952945438assigned 10/29/2019
33bProvider typeFamily Nurse Practitioner
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
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 | 623 | $31K | |
| 2020 | 7,643 | $390K | |
| 2021 | 4,956 | $241K | |
| 2022 | 2,579 | $129K | |
| 2023 | 1,184 | $18K | |
| 2024incomplete | 905 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.