Clinic
Vna Health Care
Vna Health Care was paid $2.48M by Medicaid between Apr 2019 and Dec 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoVNA HEALTH CARE
CAROL STREAM, IL 60188
CAROL STREAM, IL 60188
33aNPI1326522830assigned 09/20/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.48M
24GClaims44,043
24DCodes billed36
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#124 of 296
Median peer was paid$1.43M
This provider vs. median1.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official VALERIO, MARGARITA controls 15+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 3,690 | $224K | |
| 2020 | 5,039 | $382K | |
| 2021 | 4,896 | $412K | |
| 2022 | 6,351 | $447K | |
| 2023 | 13,343 | $493K | |
| 2024incomplete | 10,724 | $519K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 15,987 | 12,614 | $2.48M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 6,454 | 5,456 | $308.98 |
| 90686 | <1% | 301 | 278 | $12.80 | |
| 3074F | 0% | 3,704 | 3,448 | $0.00 | |
| 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 | 0% | 221 | 212 | $0.00 |
| 3079F | 0% | 1,090 | 1,037 | $0.00 | |
| 3075F | 0% | 309 | 297 | $0.00 | |
| 85018 | 0% | 449 | 406 | $0.00 | |
| 90619 | 0% | 97 | 96 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 392 | 341 | $0.00 |
| 1126F | 0% | 1,174 | 1,141 | $0.00 | |
| 90716 | 0% | 99 | 95 | $0.00 |
24 more codes
| 90651 | 0% | 151 | $0.00 | |
| 3080F | 0% | 179 | $0.00 | |
| 1125F | 0% | 66 | $0.00 | |
| 90688 | 0% | 85 | $0.00 | |
| 99384 | 0% | 32 | $0.00 | |
| 1170F | 0% | 71 | $0.00 | |
| 90656 | 0% | 111 | $0.00 | |
| 1160F | 0% | 2,878 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 474 | $0.00 |
| 90734 | 0% | 181 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 249 | $0.00 |
| 1159F | 0% | 2,879 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,184 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 121 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 144 | $0.00 |
| 3077F | 0% | 259 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 153 | $0.00 |
| 0502F | 0% | 755 | $0.00 | |
| 90707 | 0% | 82 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 509 | $0.00 |
| 3078F | 0% | 3,049 | $0.00 | |
| 90715 | 0% | 61 | $0.00 | |
| 90633 | 0% | 68 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 25 | $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.
From NPPES
Who's on the registration
Authorized officialVALERIO, MARGARITA (PROVIDER ENROLLMENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.