Banez, Francisco

Banez, Francisco was paid $1.18M by Medicaid between Mar 2018 and Nov 2024, across 23 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 66% of everything it billed.

33Billing provider infoBANEZ, FRANCISCO
OAK BROOK, IL 60523

33aNPI1275972655assigned 06/19/2013

33bProvider typeFamily Nurse Practitioner

28Total paid$1.18M

24GClaims10,111

24DCodes billed23

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#12 of 3,353

Median peer was paid$25K

This provider vs. median48×

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	334	$99K
2019	550	$94K
2020	505	$151K
2021	1,842	$483K
2022	2,938	$305K
2023	2,933	$40K
2024incomplete	1,009	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	66%	2,824	2,142	$779K
99344		14%	523	512	$163K
99345	Prolong home eval add 15m	10%	569	507	$122K
99386		3.0%	95	94	$36K
99343		2.8%	330	160	$33K
96127		2.0%	794	704	$23K
99306	Prolong nursin fac eval 15m	1.9%	63	48	$23K
99387		<1%	12	12	$4K
99350	Prolong home eval add 15m	<1%	18	14	$1K
96161		<1%	12	12	$170.52
82044		<1%	35	18	$137.90
83037		<1%	40	35	$59.20

11 more codes

1160F		<1%	1,013	$10.13
1159F		<1%	1,012	$10.12
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,009	$10.09
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	724	$7.24
1126F		<1%	420	$4.20
1125F		<1%	288	$2.88
3074F		<1%	180	$1.80
3075F		<1%	69	$0.69
G9226	Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)	<1%	36	$0.36
4010F		<1%	31	$0.31
3044F		<1%	14	$0.14

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.