Physician
Jimenez, Daniel
Jimenez, Daniel was paid $547K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99284, emergency room visit (serious) — 40% of everything it billed.
33Billing provider infoJIMENEZ, DANIEL
ELMHURST, IL 60126
ELMHURST, IL 60126
33aNPI1144465386assigned 12/02/2008
33bProvider typeEmergency Medicine Physician
28Total paid$547K
24GClaims12,179
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Illinois
Rank by total paid#113 of 1,980
Median peer was paid$150K
This provider vs. median3.6×
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 | 2,333 | $81K | |
| 2019 | 3,116 | $106K | |
| 2020 | 1,438 | $53K | |
| 2021 | 1,328 | $75K | |
| 2022 | 1,290 | $72K | |
| 2023 | 1,362 | $78K | |
| 2024incomplete | 1,312 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 40% | 4,128 | 3,861 | $218K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 38% | 2,952 | 2,734 | $209K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 3,184 | 2,945 | $106K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.4% | 1,629 | 1,498 | $13K |
| 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 | <1% | 13 | 13 | $948.61 |
| 93042 | <1% | 21 | 15 | $68.20 | |
| 99053 | 0% | 61 | 59 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 17 | 16 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 47 | 24 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 12 | 12 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 115 | 97 | $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.