Vergara, Humberto

Vergara, Humberto was paid $54K by Medicaid between Jan 2018 and Apr 2019, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 49% of everything it billed.

33Billing provider infoVERGARA, HUMBERTO
CHICAGO, IL 60622

33aNPI1124004262assigned 12/20/2005

33bProvider typeAddiction Medicine (Family Medicine) Physician

28Total paid$54K

24GClaims1,263

24DCodes billed3

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Addiction Medicine (Family Medicine) Physician providers in Illinois

Rank by total paid#7 of 10

Median peer was paid$58K

This provider vs. median0.9×

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	911	$38K
2019	352	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	49%	431	418	$27K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	29%	494	359	$16K
99239	Hospital discharge day management, more than 30 minutes	22%	338	330	$12K

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.