Punsalan, Robin

Punsalan, Robin was paid $204K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoPUNSALAN, ROBIN
BYRON, IL 61010

33aNPI1326367236assigned 05/18/2010

33bProvider typePediatrics Physician

28Total paid$204K

24GClaims4,895

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#548 of 1,805

Median peer was paid$55K

This provider vs. median3.7×

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	1,259	$55K
2019	2,043	$80K
2020	723	$27K
2021	197	$8K
2022	180	$9K
2023	180	$9K
2024incomplete	313	$15K

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	34%	1,544	1,360	$69K
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	27%	808	693	$55K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	14%	378	272	$28K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	11%	314	272	$22K
96110	Developmental screening, with scoring and documentation, per standardized instrument	5.8%	614	403	$12K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.2%	151	139	$4K
90686		1.9%	545	489	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.8%	48	47	$4K
90670		<1%	108	89	$1K
90656		<1%	65	59	$1K
90648		<1%	106	87	$755.38
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	42	39	$661.26

6 more codes

90633	<1%	41	$270.64
90677	<1%	14	$233.94
90723	<1%	33	$212.50
90710	<1%	24	$147.98
90680	<1%	20	$128.78
85018	<1%	40	$93.45

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.