Romero, Adriana
Romero, Adriana was paid $362K by Medicaid between Oct 2018 and Jun 2023, across 20 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 26% of everything it billed.
33Billing provider infoROMERO, ADRIANA
BOLINGBROOK, IL 60440
BOLINGBROOK, IL 60440
33aNPI1043487838assigned 05/12/2008
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$362K
24GClaims8,900
24DCodes billed20
24AFirst – last monthOct 2018 – Jun 2023
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#67 of 981
Median peer was paid$27K
This provider vs. median14×
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 | 71 | $2K | |
| 2019 | 1,342 | $66K | |
| 2020 | 1,444 | $66K | |
| 2021 | 2,322 | $85K | |
| 2022 | 2,469 | $98K | |
| 2023 | 1,252 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26% | 1,305 | 1,103 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 26% | 1,171 | 991 | $95K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,206 | 1,085 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 274 | 254 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.1% | 878 | 784 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 119 | 119 | $12K |
| 90670 | 3.0% | 917 | 811 | $11K | |
| 96160 | 2.5% | 613 | 540 | $9K | |
| 90686 | 2.3% | 703 | 672 | $8K | |
| 90647 | 1.7% | 524 | 456 | $6K | |
| 90680 | 1.5% | 450 | 387 | $5K | |
| 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 | 1.4% | 66 | 56 | $5K |
8 more codes
| 90633 | <1% | 219 | $2K | |
| 96127 | <1% | 148 | $2K | |
| 90723 | <1% | 172 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 48 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 42 | $1K |
| 99383 | <1% | 13 | $1K | |
| 90651 | <1% | 16 | $969.19 | |
| 90734 | <1% | 16 | $477.78 |
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.