Urdaneta, Alfonso

Urdaneta, Alfonso was paid $3K by Medicaid between Mar 2019 and May 2019, across 2 billing codes. Its largest line is 99284, emergency room visit (serious) — 72% of everything it billed.

33Billing provider infoURDANETA, ALFONSO
NASHVILLE, IL 62263

33aNPI1225085590assigned 05/30/2006

33bProvider typeSurgery Physician

28Total paid$3K

24GClaims85

24DCodes billed2

24AFirst – last monthMar 2019 – May 2019

Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#268 of 422

Median peer was paid$5K

This provider vs. median0.5×

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	85	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	72%	60	60	$2K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	28%	25	25	$772.80

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.