Guerrero, Raul

Guerrero, Raul was paid $125K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoGUERRERO, RAUL
OTTAWA, IL 61350

33aNPI1053307660assigned 09/20/2005

33bProvider typeInternal Medicine Physician

28Total paid$125K

24GClaims3,410

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#611 of 3,722

Median peer was paid$26K

This provider vs. median4.9×

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	472	$18K
2019	625	$24K
2020	496	$19K
2021	705	$29K
2022	569	$25K
2023	396	$10K
2024incomplete	147	$703.94

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	75%	1,708	1,591	$94K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	810	744	$28K
93793		1.3%	342	216	$2K
90686		<1%	57	47	$1K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	17	15	$259.67
36415	Collection of venous blood by venipuncture	<1%	455	441	$33.50
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	21	21	$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.