Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Pana › NPI 1265422067
Physician

Muneses, Marlon

Muneses, Marlon was paid $62K by Medicaid between Jan 2018 and Sep 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoMUNESES, MARLON
PANA, IL 62557
33aNPI1265422067assigned 10/24/2005
28Total paid$62K
24GClaims1,403
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,251 of 2,947
Median peer was paid$43K
This provider vs. median1.5×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018512$20K
2019481$21K
2020115$6K
2021161$9K
2022134$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76% 1,098 944 $47K
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% 288 259 $15K
81002 <1% 17 14 $44.20

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.