Clinic
Vna Health Care
Vna Health Care was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoVNA HEALTH CARE
CAROL STREAM, IL 60188
CAROL STREAM, IL 60188
33aNPI1265784417assigned 10/12/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.18M
24GClaims20,428
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#159 of 296
Median peer was paid$1.43M
This provider vs. median0.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official VALERIO, MARGARITA controls 15+ related entities in our dataset. Read more
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 | 6,205 | $431K | |
| 2019 | 7,278 | $356K | |
| 2020 | 2,533 | $170K | |
| 2021 | 935 | $72K | |
| 2022 | 49 | $6K | |
| 2023 | 1,321 | $50K | |
| 2024incomplete | 2,107 | $95K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 9,790 | 6,700 | $1.18M |
| 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% | 5,290 | 3,633 | $98.44 |
| 1126F | 0% | 303 | 280 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 247 | 183 | $0.00 |
| 85018 | 0% | 325 | 237 | $0.00 | |
| 3074F | 0% | 494 | 459 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 284 | 200 | $0.00 |
| 3079F | 0% | 63 | 58 | $0.00 | |
| 99383 | 0% | 25 | 13 | $0.00 | |
| 90686 | 0% | 73 | 47 | $0.00 | |
| 90651 | 0% | 25 | 13 | $0.00 | |
| 99384 | 0% | 24 | 12 | $0.00 |
12 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 934 | $0.00 |
| 90734 | 0% | 105 | $0.00 | |
| 1160F | 0% | 463 | $0.00 | |
| 3078F | 0% | 413 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 488 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 152 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 184 | $0.00 |
| 1159F | 0% | 440 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 83 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 153 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 17 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 53 | $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.
From NPPES
Who's on the registration
Authorized officialVALERIO, MARGARITA (PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Vna Health Care | Aurora, IL | $42.81M |
| Vna Health Care | Aurora, IL | $22.64M |
| Vna Health Care | Elgin, IL | $18.51M |
| Vna Health Care | Bolingbrook, IL | $13.98M |
| Vna Health Care | Romeoville, IL | $5.39M |
| Vna Health Care | Elgin, IL | $5.10M |
| Vna Health Care | Joliet, IL | $3.97M |
| Vna Health Care | Carol Stream, IL | $2.48M |
| Vna Health Care | Bensenville, IL | $1.67M |
| Vna Health Care | Aurora, IL | $1.10M |
| Vna Health Care | Aurora, IL | $808K |
| Vna Health Care | Aurora, IL | $76K |
| Vna Health Care | Aurora, IL | $34K |
| Vna Health Care | Aurora, IL | $23K |
| Vna Health Care | Aurora, IL | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.