Vacek, Robert

Vacek, Robert was paid $59K by Medicaid between Jun 2018 and Aug 2021, across 8 billing codes. Its largest line is 11043, — 52% of everything it billed.

33Billing provider infoVACEK, ROBERT
WHEATON, IL 60187

33aNPI1164480505assigned 05/03/2006

33bProvider typeFamily Medicine Physician

28Total paid$59K

24GClaims2,330

24DCodes billed8

24AFirst – last monthJun 2018 – Aug 2021

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,284 of 2,947

Median peer was paid$43K

This provider vs. median1.4×

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	24	$850.87
2019	15	$583.29
2020	1,407	$31K
2021	884	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11043		52%	497	238	$31K
99309	Subsequent nursing facility care, per day, low to moderate complexity	20%	640	401	$12K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	12%	423	219	$7K
99308	Subsequent nursing facility care, per day, straightforward	10%	605	392	$6K
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	2.4%	39	37	$1K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.3%	37	12	$1K
99307		<1%	71	67	$520.06
G0406	Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	<1%	18	16	$108.26

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.