Bandera, Robert

Bandera, Robert was paid $179K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoBANDERA, ROBERT
FREEPORT, IL 61032

33aNPI1134199458assigned 01/26/2006

33bProvider typeFamily Medicine Physician

28Total paid$179K

24GClaims3,896

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#627 of 2,947

Median peer was paid$43K

This provider vs. median4.2×

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	305	$16K
2019	426	$20K
2020	633	$26K
2021	389	$24K
2022	748	$31K
2023	920	$40K
2024incomplete	475	$22K

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	60%	1,577	1,418	$106K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	1,614	1,463	$69K
90686		<1%	97	74	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	16	13	$1K
80053	Comprehensive metabolic panel	<1%	30	30	$186.48
36415	Collection of venous blood by venipuncture	0%	562	535	$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.