Dejesus, Ernest

Dejesus, Ernest was paid $178K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 55% of everything it billed.

33Billing provider infoDEJESUS, ERNEST
WINFIELD, IL 60190

33aNPI1295737088assigned 08/11/2005

33bProvider typeNephrology Physician

28Total paid$178K

24GClaims4,943

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Nephrology Physician providers in Illinois

Rank by total paid#68 of 327

Median peer was paid$68K

This provider vs. median2.6×

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	355	$15K
2019	611	$25K
2020	978	$28K
2021	966	$27K
2022	881	$28K
2023	697	$26K
2024incomplete	455	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	55%	1,428	1,341	$98K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	31%	2,825	1,020	$55K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	8.0%	465	180	$14K
99222	Initial hospital care, per day, moderate complexity	4.1%	198	185	$7K
99223	Prolong inpt eval add15 m	1.4%	27	27	$3K

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.