Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$5.0K$10K$15K2018201920202021202220232024
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
2019246$34K
2020490$75K
2021177$12K
202290$6K
2023202$14K
2024incomplete225$18K
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 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.