Physician
Widjaja, Elysa
Widjaja, Elysa was paid $109K by Medicaid between Feb 2023 and Nov 2024, across 6 billing codes. Its largest line is 70551, Magnetic resonance imaging, brain; without contrast material — 51% of everything it billed.
33Billing provider infoWIDJAJA, ELYSA
CHICAGO, IL 60611
CHICAGO, IL 60611
33aNPI1184331522assigned 11/04/2022
33bProvider typePediatric Radiology Physician
28Total paid$109K
24GClaims1,241
24DCodes billed6
24AFirst – last monthFeb 2023 – Nov 2024
Compared with peers
Next to other Pediatric Radiology Physician providers in Illinois
Rank by total paid#13 of 21
Median peer was paid$168K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2023 | 622 | $60K | |
| 2024incomplete | 619 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 70551 | Magnetic resonance imaging, brain; without contrast material | 51% | 643 | 633 | $56K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 28% | 312 | 284 | $30K |
| 70450 | Computed tomography, head or brain; without contrast material | 15% | 218 | 206 | $16K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 4.0% | 43 | 43 | $4K |
| 72146 | 1.2% | 13 | 13 | $1K | |
| 72141 | 1.1% | 12 | 12 | $1K |
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.