DANIELLE JORDAL, APN
NPI 1639429855, individual, Rockford, IL, Nurse Practitioner
- Medicaid dollars per patient on code 99202 ($365 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DANIELLE JORDAL, APN |
| Type | Individual |
| Status | Active |
| NPI issued | September 14, 2012, last updated July 1, 2015 |
| Practice location | 1340 CHARLES ST STE 300, Rockford, IL 61104-2200, 779-696-5888 |
| Mailing address | PO BOX 1567, Rockford, IL 61110-0067 |
| Specialties | Nurse Practitioner (363L00000X, primary, license 209-009786 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 | |
|---|---|---|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $1.1M | 70% | $365 | $45 (top 5% from $138) | 100th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $201K | 13% | $306 | $128 (top 5% from $249) | 97th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $147K | 9% | $123 | $96 (top 5% from $249) | 67th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $41K | 3% | $88 | $81 (top 5% from $170) | 56th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $34K | 2% | $52 | $63 (top 5% from $137) | 37th percentile | |
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | $15K | 1% | $42 | $9.86 (top 5% from $1K) | 62nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $13K | 1% | $400 | $44 (top 5% from $110) | too few months to rank | |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | $12K | 1% | $75 | $79 (top 5% from $359) | 48th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 134 | 25 | $11K | $196 | $104 | 1.9x | 2.0x (90th percentile 3.4x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 106 | 74 | $11K | $268 | $126 | 2.1x | 2.0x (90th percentile 3.4x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $1K | $241 | $108 | 2.2x | 2.7x (90th percentile 4.4x) |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 21 | 11 | $946 | $127 | $63 | 2.0x | 2.1x (90th percentile 3.6x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 13 | 13 | $912 | $223 | $88 | 2.5x | 2.0x (90th percentile 3.3x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
13 providers in Winnebago County, IL carry an indicator in the public record, with $4.3M 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
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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.