Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rojas, Manuel

Rojas, Manuel was paid $42K by Medicaid between Apr 2018 and Mar 2020, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoROJAS, MANUEL
CHICAGO, IL 60632
33aNPI1164519054assigned 10/10/2006
33bProvider typePediatrics Physician
28Total paid$42K
24GClaims2,566
24DCodes billed16
24AFirst – last monthApr 2018 – Mar 2020
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#977 of 1,805
Median peer was paid$55K
This provider vs. median0.8×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018575$15K
20191,270$17K
2020721$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73% 667 603 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16% 447 408 $7K
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 6.9% 42 42 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 27 18 $608.70
90686 1.4% 72 60 $587.61
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 31 30 $471.79
94762 0% 18 18 $0.00
3074F 0% 16 14 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 228 205 $0.00
1160F 0% 431 406 $0.00
1159F 0% 431 406 $0.00
4124F 0% 13 13 $0.00
4 more codes
90461 0% 15 $0.00
4120F 0% 98 $0.00
3078F 0% 17 $0.00
4274F 0% 13 $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.