Sanford, Gretchen

Sanford, Gretchen was paid $211K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 73% of everything it billed.

33Billing provider infoSANFORD, GRETCHEN
ELK GROVE VILLAGE, IL 60007

33aNPI1972737252assigned 05/14/2009

33bProvider typeEmergency Medicine Physician

28Total paid$211K

24GClaims3,353

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#737 of 1,980

Median peer was paid$150K

This provider vs. median1.4×

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
2018	434	$18K
2019	818	$35K
2020	638	$36K
2021	487	$38K
2022	387	$32K
2023	298	$25K
2024incomplete	291	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	73%	2,122	1,941	$155K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	22%	909	815	$47K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.6%	308	271	$10K
99053		0%	14	14	$0.00

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.