Vergara, Esther

Vergara, Esther was paid $40K by Medicaid between Jan 2018 and Feb 2021, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.

33Billing provider infoVERGARA, ESTHER
GLENVIEW, IL 60025

33aNPI1154347003assigned 07/14/2006

33bProvider typeFamily Medicine Physician

28Total paid$40K

24GClaims698

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,519 of 2,947

Median peer was paid$43K

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	161	$10K
2019	226	$12K
2020	279	$16K
2021	32	$2K

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	92%	598	458	$37K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.0%	53	45	$2K
90686		1.9%	47	42	$775.78

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.