Physician
Valero, Elsa
Valero, Elsa was paid $750K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoVALERO, ELSA
BERWYN, IL 60402
BERWYN, IL 60402
33aNPI1033383088assigned 04/21/2008
33bProvider typeFamily Medicine Physician
28Total paid$750K
24GClaims13,976
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#132 of 2,947
Median peer was paid$43K
This provider vs. median18×
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 | 1,407 | $65K | |
| 2019 | 2,240 | $106K | |
| 2020 | 1,970 | $97K | |
| 2021 | 2,044 | $111K | |
| 2022 | 2,039 | $115K | |
| 2023 | 2,270 | $128K | |
| 2024incomplete | 2,006 | $128K |
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 | 56% | 6,991 | 6,085 | $422K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 4,404 | 3,866 | $194K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.1% | 282 | 261 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 232 | 222 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 251 | 233 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 273 | 241 | $19K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 218 | 191 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 163 | 152 | $13K |
| 90715 | <1% | 219 | 185 | $7K | |
| 90670 | <1% | 146 | 132 | $4K | |
| 90686 | <1% | 255 | 188 | $4K | |
| 99385 | <1% | 30 | 26 | $3K |
12 more codes
| 90734 | <1% | 78 | $973.69 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 21 | $799.20 |
| 90662 | <1% | 19 | $759.21 | |
| 90656 | <1% | 41 | $667.11 | |
| 90680 | <1% | 59 | $648.84 | |
| 90744 | <1% | 70 | $468.62 | |
| 90698 | <1% | 69 | $462.22 | |
| 90723 | <1% | 30 | $451.30 | |
| 90648 | <1% | 51 | $417.29 | |
| 90677 | <1% | 12 | $368.44 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $235.44 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 42 | $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.