Physician
Tuason, Maria Conchita
Tuason, Maria Conchita was paid $268K by Medicaid between Jan 2018 and May 2022, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoTUASON, MARIA CONCHITA
WARRENVILLE, IL 60555
WARRENVILLE, IL 60555
33aNPI1013919893assigned 08/11/2005
33bProvider typeFamily Medicine Physician
28Total paid$268K
24GClaims7,572
24DCodes billed19
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#418 of 2,947
Median peer was paid$43K
This provider vs. median6.3×
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 | 1,341 | $39K | |
| 2019 | 2,334 | $84K | |
| 2020 | 1,779 | $73K | |
| 2021 | 1,579 | $53K | |
| 2022 | 539 | $20K |
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 | 58% | 2,488 | 1,881 | $155K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 2,010 | 1,622 | $86K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 390 | 341 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 65 | 58 | $6K |
| 90686 | 1.7% | 315 | 239 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 32 | 26 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 110 | 94 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | 12 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 50 | 41 | $775.00 |
| 96160 | <1% | 56 | 38 | $561.45 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 27 | 17 | $319.24 |
| 99173 | <1% | 17 | 13 | $130.50 |
7 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 19 | $120.00 |
| 82962 | <1% | 29 | $52.38 | |
| 81002 | <1% | 17 | $39.86 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $31.00 |
| 1036F | 0% | 1,451 | $0.00 | |
| 3017F | 0% | 376 | $0.00 | |
| 4004F | 0% | 90 | $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.