Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VNA HEALTH CARE

NPI: 1326522830 · CAROL STREAM, IL 60188 · Federally Qualified Health Center (FQHC) · NPI assigned 09/20/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official VALERIO, MARGARITA controls 15+ related entities in our dataset. Read more

$2.48M
Total Medicaid Paid
44,043
Total Claims
37,932
Beneficiaries
36
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVALERIO, MARGARITA (PROVIDER ENROLLMENT)
NPI Enumeration Date09/20/2018

Related Entities

Other providers sharing the same authorized official: VALERIO, MARGARITA

ProviderCityStateTotal Paid
VNA HEALTH CARE AURORA IL $42.81M
VNA HEALTH CARE AURORA IL $22.64M
VNA HEALTH CARE ELGIN IL $18.51M
VNA HEALTH CARE BOLINGBROOK IL $13.98M
VNA HEALTH CARE ROMEOVILLE IL $5.39M
VNA HEALTH CARE ELGIN IL $5.10M
VNA HEALTH CARE JOLIET IL $3.97M
VNA HEALTH CARE BENSENVILLE IL $1.67M
VNA HEALTH CARE CAROL STREAM IL $1.18M
VNA HEALTH CARE AURORA IL $1.10M
VNA HEALTH CARE AURORA IL $808K
VNA HEALTH CARE AURORA IL $76K
VNA HEALTH CARE AURORA IL $34K
VNA HEALTH CARE AURORA IL $23K
VNA HEALTH CARE AURORA IL $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,690 $224K
2020 5,039 $382K
2021 4,896 $412K
2022 6,351 $447K
2023 13,343 $493K
2024 10,724 $519K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,987 12,614 $2.48M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,454 5,456 $308.98
90686 301 278 $12.80
3074F 3,704 3,448 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 221 212 $0.00
3079F 1,090 1,037 $0.00
3075F 309 297 $0.00
85018 449 406 $0.00
90619 97 96 $0.00
83036 Hemoglobin; glycosylated (A1C) 392 341 $0.00
1126F 1,174 1,141 $0.00
90716 99 95 $0.00
90651 151 135 $0.00
3080F 179 165 $0.00
1125F 66 65 $0.00
90688 85 82 $0.00
99384 32 32 $0.00
1170F 71 71 $0.00
90656 111 97 $0.00
1160F 2,878 2,652 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 474 464 $0.00
90734 181 161 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 249 242 $0.00
1159F 2,879 2,653 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,184 986 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 121 121 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 144 135 $0.00
3077F 259 241 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 153 147 $0.00
0502F 755 473 $0.00
90707 82 78 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 509 483 $0.00
3078F 3,049 2,876 $0.00
90715 61 60 $0.00
90633 68 68 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 24 $0.00