Sanchez-Vargas, Gustavo

Sanchez-Vargas, Gustavo was paid $667K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.

33Billing provider infoSANCHEZ-VARGAS, GUSTAVO
AURORA, IL 60506

33aNPI1205965522assigned 03/04/2007

33bProvider typeFamily Medicine Physician

28Total paid$667K

24GClaims10,875

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#152 of 2,947

Median peer was paid$43K

This provider vs. median16×

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	1,893	$106K
2019	2,017	$121K
2020	2,504	$155K
2021	1,984	$132K
2022	1,224	$80K
2023	610	$30K
2024incomplete	643	$43K

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	78%	6,981	4,035	$519K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	1,688	1,285	$99K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.2%	190	190	$14K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.8%	146	146	$12K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	80	78	$6K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	63	62	$4K
0502F		<1%	74	45	$3K
81003		<1%	1,254	491	$3K
90686		<1%	242	214	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	13	13	$1K
90656		<1%	78	72	$555.94
90700		<1%	27	27	$232.84

3 more codes

90713	<1%	12	$110.33
90670	<1%	15	$96.00
90647	<1%	12	$76.80

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.