Physician
Senese, Marianne
Senese, Marianne was paid $249K by Medicaid between Jan 2018 and Aug 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoSENESE, MARIANNE
ELMHURST, IL 60126
ELMHURST, IL 60126
33aNPI1083664106assigned 05/11/2006
33bProvider typePediatrics Physician
28Total paid$249K
24GClaims5,391
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#487 of 1,805
Median peer was paid$55K
This provider vs. median4.5×
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 | 487 | $21K | |
| 2019 | 660 | $29K | |
| 2020 | 804 | $28K | |
| 2021 | 685 | $30K | |
| 2022 | 1,105 | $54K | |
| 2023 | 1,095 | $53K | |
| 2024incomplete | 555 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 1,824 | 1,661 | $87K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26% | 934 | 784 | $64K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 631 | 522 | $49K |
| 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 | 8.3% | 260 | 236 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 80 | 71 | $7K |
| 90670 | 2.3% | 532 | 453 | $6K | |
| 90686 | 2.2% | 566 | 497 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 43 | 40 | $3K |
| 90647 | <1% | 163 | 155 | $2K | |
| 90723 | <1% | 202 | 159 | $2K | |
| 99460 | <1% | 15 | 15 | $866.55 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | 13 | $568.49 |
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.