Physician
Zhang, Dawen
Zhang, Dawen was paid $159K by Medicaid between Sep 2019 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoZHANG, DAWEN
NAPERVILLE, IL 60540
NAPERVILLE, IL 60540
33aNPI1215341425assigned 06/16/2014
33bProvider typeRheumatology Physician
28Total paid$159K
24GClaims1,430
24DCodes billed6
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Rheumatology Physician providers in Illinois
Rank by total paid#10 of 140
Median peer was paid$20K
This provider vs. median7.9×
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 | |
|---|---|---|---|
| 2019 | 246 | $34K | |
| 2020 | 490 | $75K | |
| 2021 | 177 | $12K | |
| 2022 | 90 | $6K | |
| 2023 | 202 | $14K | |
| 2024incomplete | 225 | $18K |
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 | 81% | 1,220 | 1,051 | $129K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 130 | 112 | $19K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.7% | 33 | 27 | $6K |
| 99205 | Prolong outpt/office vis | 1.4% | 17 | 16 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 17 | 12 | $2K |
| 20610 | <1% | 13 | 12 | $516.25 |
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.