Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Chicago › NPI 1205824406
Physician

Fonseca, Luvianca

Fonseca, Luvianca was paid $87K by Medicaid between Jan 2018 and Jun 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.

33Billing provider infoFONSECA, LUVIANCA
CHICAGO, IL 60629
33aNPI1205824406assigned 10/11/2005
28Total paid$87K
24GClaims4,540
24DCodes billed24
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,053 of 2,947
Median peer was paid$43K
This provider vs. median2.0×

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
20181,198$27K
2019890$14K
2020642$10K
2021653$12K
2022742$11K
2023327$8K
2024incomplete88$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 82% 1,141 979 $72K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.0% 182 141 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.1% 32 28 $3K
90688 1.6% 84 68 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 52 13 $928.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 36 32 $870.80
99490 Ccm add 20min <1% 15 12 $346.25
90756 <1% 13 12 $324.68
86580 <1% 65 56 $291.04
81003 <1% 143 105 $252.88
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 16 13 $251.20
96127 <1% 20 13 $172.67
12 more codes
90686 <1% 21 $121.60
87999 <1% 23 $50.03
36416 <1% 12 $4.10
3008F 0% 1,051 $0.00
1036F 0% 490 $0.00
1220F 0% 334 $0.00
3351F 0% 138 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 60 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 29 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 534 $0.00
4274F 0% 36 $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.