Physician
Chagoya, Pablo
Chagoya, Pablo was paid $1.08M by Medicaid between Jan 2018 and Feb 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoCHAGOYA, PABLO
BERWYN, IL 60402
BERWYN, IL 60402
33aNPI1235128075assigned 10/14/2005
33bProvider typePediatrics Physician
28Total paid$1.08M
24GClaims29,825
24DCodes billed42
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#130 of 1,805
Median peer was paid$55K
This provider vs. median20×
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 | 2,561 | $92K | |
| 2019 | 5,414 | $197K | |
| 2020 | 5,968 | $205K | |
| 2021 | 6,335 | $201K | |
| 2022 | 4,821 | $202K | |
| 2023 | 4,644 | $182K | |
| 2024incomplete | 82 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 6,499 | 5,744 | $297K |
| 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 | 24% | 3,566 | 3,218 | $259K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 1,838 | 1,547 | $149K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 1,837 | 1,627 | $136K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 1,107 | 866 | $83K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 2,070 | 1,679 | $36K |
| 96127 | 2.2% | 1,656 | 1,453 | $23K | |
| 90686 | 1.3% | 1,565 | 1,434 | $14K | |
| 83655 | 1.2% | 1,189 | 915 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 485 | 480 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 169 | 150 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 406 | 391 | $11K |
30 more codes
| 90651 | <1% | 593 | $6K | |
| 85018 | <1% | 2,692 | $6K | |
| 90734 | <1% | 375 | $4K | |
| 99173 | <1% | 468 | $3K | |
| 92015 | Determination of refractive state | <1% | 180 | $3K |
| 90670 | <1% | 267 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 755 | $3K |
| 36416 | <1% | 574 | $2K | |
| 90621 | <1% | 120 | $1K | |
| 92587 | <1% | 53 | $1K | |
| 94060 | <1% | 16 | $843.20 | |
| 90685 | <1% | 86 | $550.40 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $392.50 |
| D1206 | Topical application of fluoride varnish | <1% | 16 | $390.00 |
| 86580 | <1% | 84 | $342.98 | |
| 90715 | <1% | 50 | $340.30 | |
| 90697 | <1% | 19 | $317.49 | |
| 90674 | <1% | 19 | $317.49 | |
| 90633 | <1% | 38 | $275.23 | |
| 69210 | <1% | 13 | $257.87 | |
| 90723 | <1% | 15 | $170.80 | |
| 90647 | <1% | 19 | $147.83 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 57 | $90.90 |
| 90680 | <1% | 14 | $89.60 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 102 | $0.76 |
| 1036F | 0% | 276 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 324 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 157 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 17 | $0.00 |
| 90461 | 0% | 14 | $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.