Montefolka, Mark

Montefolka, Mark was paid $249K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.

33Billing provider infoMONTEFOLKA, MARK
PEORIA HEIGHTS, IL 61616

33aNPI1114026754assigned 09/21/2006

33bProvider typeFamily Medicine Physician

28Total paid$249K

24GClaims4,155

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#457 of 2,947

Median peer was paid$43K

This provider vs. median5.9×

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	226	$13K
2019	439	$25K
2020	618	$39K
2021	678	$41K
2022	853	$53K
2023	839	$48K
2024incomplete	502	$31K

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	64%	2,238	1,986	$160K
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%	1,810	1,697	$88K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	14	13	$934.18
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	47	44	$693.17
90686		<1%	16	12	$311.15
81002		<1%	17	16	$44.20
36415	Collection of venous blood by venipuncture	<1%	13	13	$3.66

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.