RAMIREZ-DOLLETON, RACQUEL
NPI: 1265542260
· CRYSTAL LAKE, IL 60014
· Family Medicine Physician
· NPI assigned 08/30/2006
$132K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
380 |
$20K |
| 2019 |
1,151 |
$28K |
| 2020 |
680 |
$16K |
| 2021 |
1,789 |
$26K |
| 2022 |
339 |
$24K |
| 2023 |
185 |
$13K |
| 2024 |
70 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,189 |
1,038 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
958 |
839 |
$43K |
| 90686 |
|
89 |
69 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$600.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$235.50 |
| 1220F |
|
156 |
113 |
$0.00 |
| 2000F |
|
394 |
296 |
$0.00 |
| 3008F |
|
425 |
326 |
$0.00 |
| 2001F |
|
245 |
187 |
$0.00 |
| 2010F |
|
424 |
325 |
$0.00 |
| 3074F |
|
203 |
140 |
$0.00 |
| 1160F |
|
371 |
282 |
$0.00 |
| 3078F |
|
107 |
78 |
$0.00 |