Physician
Mendez, Ray
Mendez, Ray was paid $1.78M by Medicaid between Feb 2019 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoMENDEZ, RAY
CHICAGO, IL 60608
CHICAGO, IL 60608
33aNPI1043697816assigned 04/30/2015
33bProvider typeFamily Medicine Physician
28Total paid$1.78M
24GClaims48,106
24DCodes billed55
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#51 of 2,947
Median peer was paid$43K
This provider vs. median42×
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 | |
|---|---|---|---|
| 2019 | 2,744 | $77K | |
| 2020 | 7,537 | $220K | |
| 2021 | 9,879 | $405K | |
| 2022 | 11,141 | $439K | |
| 2023 | 8,678 | $317K | |
| 2024incomplete | 8,127 | $326K |
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 | 35% | 8,122 | 4,991 | $631K |
| 96127 | 13% | 9,334 | 5,342 | $237K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 3,947 | 2,749 | $195K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.5% | 1,890 | 1,665 | $116K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.1% | 2,185 | 1,312 | $90K |
| 99000 | 3.7% | 2,901 | 1,730 | $66K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.4% | 622 | 553 | $61K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.3% | 1,656 | 1,418 | $59K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.9% | 1,359 | 730 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 553 | 343 | $44K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 1,343 | 912 | $41K |
| 99402 | 1.3% | 789 | 572 | $23K |
43 more codes
| 92552 | 1.2% | 1,283 | $21K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,329 | $21K |
| 96160 | <1% | 1,231 | $16K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 211 | $15K |
| 91320 | <1% | 153 | $11K | |
| 90686 | <1% | 904 | $11K | |
| 99173 | <1% | 1,198 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 199 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 333 | $9K |
| 0124A | <1% | 112 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,228 | $4K |
| 81025 | <1% | 770 | $4K | |
| 99401 | <1% | 137 | $3K | |
| 36416 | <1% | 848 | $3K | |
| 93000 | <1% | 46 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 284 | $3K |
| 85018 | <1% | 1,201 | $3K | |
| 0072A | <1% | 48 | $2K | |
| 0071A | <1% | 43 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $2K |
| 99384 | <1% | 17 | $2K | |
| 0001A | <1% | 41 | $2K | |
| 0002A | <1% | 40 | $2K | |
| 0003A | <1% | 39 | $1K | |
| 99383 | <1% | 14 | $1K | |
| 90661 | <1% | 71 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 19 | $1K |
| 90651 | <1% | 95 | $1K | |
| 87807 | <1% | 95 | $955.70 | |
| 90656 | <1% | 43 | $875.43 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 60 | $772.80 |
| 81002 | <1% | 128 | $335.40 | |
| 69210 | <1% | 22 | $315.30 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16 | $289.43 |
| 90620 | <1% | 15 | $188.40 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 116 | $179.37 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 709 | $59.80 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 19 | $10.29 |
| 91300 | <1% | 65 | $10.00 | |
| 91307 | <1% | 21 | $5.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 115 | $0.00 |
| 90461 | 0% | 50 | $0.00 | |
| 91312 | 0% | 18 | $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.