Physician
Bolanos, Luis
Bolanos, Luis was paid $1.53M by Medicaid between Jan 2018 and Aug 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoBOLANOS, LUIS
AURORA, IL 60504
AURORA, IL 60504
33aNPI1285687673assigned 05/18/2006
33bProvider typePediatrics Physician
28Total paid$1.53M
24GClaims41,095
24DCodes billed59
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#68 of 1,805
Median peer was paid$55K
This provider vs. median28×
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 | 7,542 | $250K | |
| 2019 | 8,178 | $268K | |
| 2020 | 6,080 | $208K | |
| 2021 | 6,039 | $217K | |
| 2022 | 4,998 | $197K | |
| 2023 | 5,426 | $229K | |
| 2024incomplete | 2,832 | $156K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 6,650 | 5,434 | $313K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 3,398 | 2,615 | $258K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 2,746 | 2,174 | $188K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 2,241 | 2,062 | $170K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 1,906 | 1,721 | $158K |
| 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 | 3.8% | 718 | 644 | $58K |
| 90686 | 3.1% | 4,498 | 3,875 | $47K | |
| 96127 | 2.8% | 2,842 | 2,370 | $43K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 2,223 | 1,795 | $36K |
| 90670 | 1.9% | 1,707 | 1,416 | $29K | |
| D1206 | Topical application of fluoride varnish | 1.8% | 1,030 | 736 | $27K |
| 90677 | 1.5% | 250 | 205 | $23K |
47 more codes
| 90651 | 1.4% | 764 | $21K | |
| 90698 | <1% | 1,323 | $15K | |
| 95930 | <1% | 299 | $14K | |
| 90633 | <1% | 990 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 825 | $10K |
| 90680 | <1% | 802 | $9K | |
| 90734 | <1% | 423 | $7K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 173 | $7K |
| 0071A | <1% | 159 | $7K | |
| 0072A | <1% | 137 | $6K | |
| 90744 | <1% | 497 | $5K | |
| 90620 | <1% | 329 | $5K | |
| 0001A | <1% | 122 | $5K | |
| 92558 | <1% | 433 | $5K | |
| 90648 | <1% | 572 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 171 | $5K |
| 90723 | <1% | 352 | $4K | |
| 0124A | <1% | 97 | $4K | |
| 0002A | <1% | 97 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 71 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 210 | $3K |
| 90681 | <1% | 111 | $3K | |
| 90619 | <1% | 125 | $2K | |
| 0081A | <1% | 48 | $2K | |
| 0054A | <1% | 50 | $2K | |
| 99383 | <1% | 21 | $2K | |
| 90715 | <1% | 152 | $2K | |
| 91320 | <1% | 30 | $1K | |
| 99173 | <1% | 106 | $789.70 | |
| 91319 | <1% | 18 | $784.80 | |
| 91318 | <1% | 17 | $741.20 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $730.35 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $718.20 |
| 90696 | <1% | 87 | $550.40 | |
| 90685 | <1% | 65 | $434.80 | |
| 94760 | <1% | 150 | $391.60 | |
| 90710 | <1% | 57 | $358.40 | |
| 90716 | <1% | 37 | $236.80 | |
| 90707 | <1% | 25 | $160.00 | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 80 | $83.32 |
| A6411 | Eye pad, non-sterile, each | <1% | 291 | $44.16 |
| A4558 | Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz | <1% | 80 | $34.39 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 287 | $0.00 |
| 91307 | 0% | 34 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 64 | $0.00 |
| 99177 | 0% | 42 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 16 | $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.