NP / PA
Merlo, Mary
Merlo, Mary was paid $18K by Medicaid between Nov 2020 and Jul 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoMERLO, MARY
ORLAND PARK, IL 60462
ORLAND PARK, IL 60462
33aNPI1962892232assigned 01/26/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$18K
24GClaims403
24DCodes billed5
24AFirst – last monthNov 2020 – Jul 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#1,875 of 3,353
Median peer was paid$25K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 15 | $604.45 | |
| 2021 | 94 | $6K | |
| 2022 | 25 | $899.06 | |
| 2023 | 102 | $3K | |
| 2024incomplete | 167 | $8K |
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 | 37% | 131 | 121 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 155 | 142 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 22% | 52 | 41 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 53 | 44 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 12 | 12 | $256.50 |
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.