Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Penaherrera, Jose

Penaherrera, Jose was paid $1K by Medicaid between Jan 2018 and May 2018, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoPENAHERRERA, JOSE
NEW LENOX, IL 60451
33aNPI1073649141assigned 02/25/2007
28Total paid$1K
24GClaims54
24DCodes billed2
24AFirst – last monthJan 2018 – May 2018
Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#3,349 of 3,722
Median peer was paid$26K
This provider vs. median0.1×

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

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
201854$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 72% 38 38 $932.19
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 16 15 $358.99

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.