Lemus, Gabriel

Lemus, Gabriel was paid $343K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoLEMUS, GABRIEL
PLAINFIELD, IL 60585

33aNPI1285821868assigned 09/27/2007

33bProvider typeAdult Health Nurse Practitioner

28Total paid$343K

24GClaims6,811

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Illinois

Rank by total paid#11 of 261

Median peer was paid$13K

This provider vs. median27×

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	792	$39K
2019	929	$44K
2020	1,147	$59K
2021	852	$45K
2022	906	$48K
2023	1,114	$51K
2024incomplete	1,071	$58K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	3,086	2,737	$188K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	3,075	2,560	$139K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.4%	100	94	$8K
96127		2.0%	475	384	$7K
99490	Ccm add 20min	<1%	32	32	$425.02
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	13	13	$131.40
G8752	Most recent systolic blood pressure < 140 mmhg	0%	15	14	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	15	14	$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.