ELAINA PARLAPANIS
NPI 1083073506, individual, Rockford, IL, Nurse Practitioner, Family
- Hours beyond a day in 23 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99309 ($90 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds at a conservative unit price | 10.2 | 116.0 | 77.3 | 104.2 | 463 | 1 | 99306 99309 99310 | $50K |
| Feb 2018 | More hours than a day holds at a conservative unit price | 7.5 | 76.2 | 50.8 | 71.1 | 272 | 1 | 99306 99309 99310 | $32K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 7.5 | 75.9 | 50.6 | 71.3 | 242 | 1 | 99306 99309 99310 | $32K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 4.4 | 50.0 | 33.3 | 47.6 | 187 | 1 | 99306 99309 99310 | $20K |
| Jun 2018 | More hours than a day holds at a conservative unit price | 3.2 | 44.0 | 29.3 | 41.9 | 149 | 1 | 99309 99310 | $16K |
| Jul 2018 | More hours than a day holds at a conservative unit price | 4.9 | 66.1 | 44.0 | 62.1 | 273 | 1 | 99309 99310 | $24K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 3.8 | 45.5 | 30.4 | 40.9 | 198 | 1 | 99306 99309 99310 | $18K |
| Sep 2018 | More hours than a day holds at a conservative unit price | 3.2 | 39.7 | 26.5 | 39.7 | 153 | 1 | 99309 99310 | $14K |
| Dec 2018 | More hours than a day holds at a conservative unit price | 5.7 | 74.0 | 49.3 | 72.8 | 303 | 1 | 99309 99310 | $27K |
| Jan 2019 | More hours than a day holds at a conservative unit price | 9.3 | 79.3 | 52.9 | 71.3 | 414 | 1 | 99306 99309 99310 | $45K |
| Feb 2019 | More hours than a day holds at a conservative unit price | 8.7 | 71.2 | 47.5 | 66.5 | 362 | 1 | 99306 99309 99310 | $39K |
| Mar 2019 | More hours than a day holds at a conservative unit price | 7.6 | 63.7 | 42.5 | 62.7 | 359 | 1 | 99306 99309 99310 | $36K |
| Apr 2019 | More hours than a day holds at a conservative unit price | 5.7 | 48.4 | 32.3 | 44.0 | 274 | 1 | 99309 99310 | $25K |
| May 2019 | More hours than a day holds at a conservative unit price | 6.5 | 51.5 | 34.3 | 46.2 | 286 | 1 | 99309 99310 | $28K |
| Jun 2019 | More hours than a day holds at a conservative unit price | 5.8 | 46.1 | 30.7 | 46.1 | 273 | 1 | 99309 99310 | $24K |
| Jul 2019 | More hours than a day holds at a conservative unit price | 6.8 | 50.9 | 33.9 | 45.8 | 319 | 1 | 99309 99310 | $28K |
| Aug 2019 | More hours than a day holds at a conservative unit price | 8.0 | 54.6 | 36.4 | 51.3 | 372 | 1 | 99306 99309 99310 | $30K |
| Sep 2019 | More hours than a day holds at a conservative unit price | 6.0 | 44.1 | 29.4 | 42.0 | 289 | 1 | 99306 99309 99310 | $23K |
| Oct 2019 | More hours than a day holds at a conservative unit price | 6.1 | 50.2 | 33.5 | 45.1 | 286 | 1 | 99309 99310 | $27K |
| Nov 2019 | More hours than a day holds at a conservative unit price | 6.2 | 54.1 | 36.1 | 51.6 | 285 | 1 | 99309 99310 | $28K |
| Dec 2019 | More hours than a day holds at a conservative unit price | 4.8 | 41.1 | 27.4 | 38.6 | 238 | 1 | 99309 99310 | $22K |
| Feb 2020 | More hours than a day holds at a conservative unit price | 7.8 | 43.3 | 28.9 | 41.9 | 358 | 1 | 99306 99309 99310 | $35K |
| Jan 2024 | More hours than a day holds at a conservative unit price | 13.3 | 36.4 | 24.3 | 32.7 | 396 | 1 | 99202 99309 99310 | $85K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELAINA PARLAPANIS |
| Type | Individual |
| Status | Active |
| NPI issued | February 11, 2016, last updated March 29, 2016 |
| Practice location | 2222 E STATE ST STE 209, Rockford, IL 61104-1572, 815-988-8500 |
| Mailing address | 19644 SKYE DRIVE, Frankfort, IL 60423 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license 209013847 IL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $999K | 51% | $90 | $21 (top 5% from $84) | 96th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $769K | 39% | $133 | $30 (top 5% from $134) | 95th percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $106K | 5% | $411 | $45 (top 5% from $138) | 100th percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $62K | 3% | $152 | $37 (top 5% from $100) | 99th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $15K | 1% | $204 | $128 (top 5% from $249) | too few months to rank | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $5K | 0% | $288 | $88 (top 5% from $210) | too few months to rank | |
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | $1K | 0% | $45 | $9.86 (top 5% from $1K) | too few months to rank | |
| 3044F | Medicaid service code | $1 | 0% | $0.00 | $0.00 (top 5% from $0.79) | 78th percentile |
In this area
13 providers in Winnebago County, IL carry an indicator in the public record, with $3.1M at stake between them. The most common is part of a provider network, on 7 of them, followed by more hours than a day holds on 5. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MERCYHEALTH VISITING NURSES ASSOCIATION, INC. Machesney Park, IL, ranked 327 | $5K |
|
| 3 | SWEDISHAMERICAN HOSPITAL Rockford, IL, ranked 813 | $157K |
|
| 3 | FAIR OAKS REHABILITATION AND HEALTH CARE CENTER, LLC South Beloit, IL, ranked 3192 | $0 |
|
| 3 | PRESENCE LIFE CONNECTIONS Rockford, IL, ranked 3537 | $0 |
|
| 3 | EAST BANK CENTER LLC Loves Park, IL, ranked 4010 | $0 |
|
| 3 | MEDINA NURSING CENTER, INC Durand, IL, ranked 4528 | $0 |
|
| 3 | ALPINE FIRESIDE HEALTH CENTER LTD Rockford, IL, ranked 5800 | $0 |
|
| 3 | MO CHARA HOSPICE LLC Cherry Valley, IL, ranked 6933 | $0 |
|
Recent enforcement in IL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.