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

Smith, Eliza

Smith, Eliza was paid $221K by Medicaid between Sep 2020 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoSMITH, ELIZA
MATTOON, IL 61938
33aNPI1972754000assigned 10/07/2008
28Total paid$221K
24GClaims4,024
24DCodes billed19
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#308 of 3,353
Median peer was paid$25K
This provider vs. median9.0×

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$5.0K$10K$15K2018201920202021202220232024
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
2020195$10K
2021614$34K
2022881$55K
2023861$51K
2024incomplete1,473$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 35% 1,102 971 $79K
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% 1,197 1,143 $60K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 351 283 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.6% 231 210 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.8% 186 163 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.8% 121 120 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.8% 138 137 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.4% 233 231 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.8% 81 80 $4K
90686 <1% 180 166 $2K
90670 <1% 83 76 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 15 13 $744.60
7 more codes
90680 <1% 17 $275.77
90723 <1% 17 $275.77
90647 <1% 15 $242.35
83655 <1% 13 $154.18
90710 <1% 15 $96.00
90696 <1% 15 $96.00
85018 <1% 14 $37.12

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.