Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ruano, Michelle

Ruano, Michelle was paid $402K by Medicaid between Nov 2022 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.

33Billing provider infoRUANO, MICHELLE
GURNEE, IL 60031
33aNPI1275095093assigned 04/01/2019
33bProvider typePediatrics Physician
28Total paid$402K
24GClaims12,525
24DCodes billed33
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#352 of 1,805
Median peer was paid$55K
This provider vs. median7.3×

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$10K$20K$30K2018201920202021202220232024
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
2022438$13K
20235,888$169K
2024incomplete6,199$221K
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 15% 1,590 1,430 $62K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 1,014 917 $56K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13% 1,035 912 $54K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.3% 594 564 $29K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.5% 533 503 $26K
90677 6.4% 513 473 $26K
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 5.3% 362 352 $21K
90651 4.8% 309 296 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4.2% 807 734 $17K
90647 2.7% 653 558 $11K
90723 2.7% 650 555 $11K
90680 2.5% 614 524 $10K
21 more codes
90686 2.4% 581 $10K
90633 1.7% 405 $7K
96127 1.7% 303 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 305 $5K
90670 1.2% 279 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.1% 128 $5K
83655 1.0% 352 $4K
90656 <1% 217 $4K
87428 <1% 40 $3K
90734 <1% 110 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 58 $2K
85018 <1% 720 $2K
90620 <1% 78 $1K
90700 <1% 62 $1K
90715 <1% 60 $1K
90716 <1% 36 $601.56
90707 <1% 36 $601.56
90710 <1% 30 $501.30
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 25 $289.36
90696 <1% 14 $233.94
87807 <1% 12 $120.72

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.