Physician
Valena, Marlyn
Valena, Marlyn was paid $263K by Medicaid between Feb 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoVALENA, MARLYN
ELGIN, IL 60123
ELGIN, IL 60123
33aNPI1033117213assigned 07/12/2005
33bProvider typePediatrics Physician
28Total paid$263K
24GClaims5,717
24DCodes billed24
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#466 of 1,805
Median peer was paid$55K
This provider vs. median4.8×
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 | 78 | $4K | |
| 2019 | 279 | $12K | |
| 2020 | 319 | $11K | |
| 2021 | 738 | $36K | |
| 2022 | 1,615 | $68K | |
| 2023 | 1,458 | $69K | |
| 2024incomplete | 1,230 | $63K |
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 | 44% | 1,536 | 1,393 | $114K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,065 | 951 | $50K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 520 | 458 | $40K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 271 | 219 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 332 | 298 | $7K |
| 90686 | 2.3% | 509 | 464 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 134 | 130 | $5K |
| 96127 | 1.8% | 250 | 229 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 52 | 50 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 193 | 167 | $3K |
| 90670 | <1% | 147 | 122 | $3K | |
| 90656 | <1% | 102 | 99 | $2K |
12 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $899.21 |
| 85018 | <1% | 335 | $775.07 | |
| 83655 | <1% | 60 | $711.60 | |
| 90647 | <1% | 38 | $568.47 | |
| 90723 | <1% | 30 | $497.15 | |
| 90680 | <1% | 28 | $463.73 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $406.90 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $322.00 |
| 90633 | <1% | 16 | $267.36 | |
| 92587 | <1% | 12 | $159.00 | |
| 99173 | <1% | 19 | $141.55 |
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.