Physician
Sgarlata, Natalie
Sgarlata, Natalie was paid $934K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 22% of everything it billed.
33Billing provider infoSGARLATA, NATALIE
SYCAMORE, IL 60178
SYCAMORE, IL 60178
33aNPI1134495310assigned 04/01/2012
33bProvider typePediatrics Physician
28Total paid$934K
24GClaims21,759
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#155 of 1,805
Median peer was paid$55K
This provider vs. median17×
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 | 1,425 | $63K | |
| 2019 | 2,060 | $88K | |
| 2020 | 2,889 | $110K | |
| 2021 | 3,544 | $131K | |
| 2022 | 4,038 | $181K | |
| 2023 | 4,624 | $199K | |
| 2024incomplete | 3,179 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 22% | 2,744 | 2,281 | $205K |
| 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 | 17% | 2,113 | 1,892 | $159K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 2,149 | 1,705 | $145K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,946 | 2,617 | $136K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 1,158 | 1,040 | $86K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 382 | 345 | $31K |
| 90670 | 3.0% | 1,407 | 1,133 | $28K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 1,601 | 1,359 | $26K |
| 90677 | 2.1% | 298 | 263 | $20K | |
| 96127 | 1.7% | 833 | 734 | $16K | |
| 90686 | 1.6% | 1,352 | 1,199 | $15K | |
| 90647 | 1.4% | 1,055 | 803 | $13K |
21 more codes
| 90723 | 1.4% | 959 | $13K | |
| 90680 | 1.1% | 781 | $11K | |
| 90633 | <1% | 654 | $8K | |
| 90651 | <1% | 100 | $5K | |
| 90656 | <1% | 204 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 199 | $2K |
| 90716 | <1% | 132 | $2K | |
| 90707 | <1% | 112 | $2K | |
| 90734 | <1% | 81 | $2K | |
| 90698 | <1% | 82 | $1K | |
| 83655 | <1% | 87 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $766.85 |
| 91321 | <1% | 41 | $685.11 | |
| 90696 | <1% | 38 | $597.63 | |
| 90710 | <1% | 38 | $597.63 | |
| 90700 | <1% | 58 | $455.64 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $420.50 |
| 90715 | <1% | 12 | $222.09 | |
| 90744 | <1% | 14 | $89.60 | |
| 85018 | <1% | 37 | $85.84 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 31 | $5.42 |
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.