Physician
San Gabriel, Rosvida
San Gabriel, Rosvida was paid $813K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoSAN GABRIEL, ROSVIDA
STREATOR, IL 61364
STREATOR, IL 61364
33aNPI1023166535assigned 01/08/2007
33bProvider typePediatrics Physician
28Total paid$813K
24GClaims25,059
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#177 of 1,805
Median peer was paid$55K
This provider vs. median15×
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 | 2,980 | $93K | |
| 2019 | 4,491 | $129K | |
| 2020 | 3,705 | $99K | |
| 2021 | 3,511 | $113K | |
| 2022 | 4,388 | $140K | |
| 2023 | 2,389 | $88K | |
| 2024incomplete | 3,595 | $150K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 5,785 | 5,052 | $272K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,581 | 1,360 | $115K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,393 | 1,260 | $101K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 736 | 645 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 857 | 731 | $56K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.7% | 2,673 | 2,336 | $47K |
| 96127 | 4.8% | 2,210 | 1,958 | $39K | |
| 99173 | 3.2% | 3,588 | 3,225 | $26K | |
| 87428 | 2.1% | 272 | 247 | $17K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 939 | 853 | $14K |
| 90686 | 1.7% | 1,444 | 1,258 | $14K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 850 | 766 | $10K |
23 more codes
| 90677 | <1% | 211 | $7K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 108 | $4K |
| 90670 | <1% | 524 | $4K | |
| 90651 | <1% | 118 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 67 | $3K |
| 99383 | <1% | 29 | $3K | |
| 90697 | <1% | 163 | $3K | |
| 90648 | <1% | 346 | $2K | |
| 90734 | <1% | 126 | $2K | |
| 99382 | <1% | 15 | $1K | |
| 90672 | <1% | 198 | $1K | |
| 90656 | <1% | 78 | $1K | |
| 90660 | <1% | 77 | $1K | |
| 99384 | <1% | 13 | $1K | |
| 90633 | <1% | 130 | $1K | |
| 90681 | <1% | 52 | $838.02 | |
| 83655 | <1% | 70 | $825.93 | |
| 90715 | <1% | 61 | $750.56 | |
| 90685 | <1% | 115 | $736.00 | |
| 90723 | <1% | 93 | $590.00 | |
| 87807 | <1% | 41 | $393.86 | |
| 85018 | <1% | 83 | $192.02 | |
| 90710 | <1% | 13 | $83.20 |
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.