Medicaid Provider Spending

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

FUDALEJ, GABRIELA

NPI: 1336736024 · WILLOWBROOK, IL 60527 · Nurse Practitioner · NPI assigned 12/29/2020

$57K
Total Medicaid Paid
1,389
Total Claims
1,339
Beneficiaries
9
Codes Billed
2022-03
First Month
2024-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 622 $28K
2023 641 $24K
2024 126 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 286 274 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 456 426 $18K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 213 210 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 129 128 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 38 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 52 52 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 115 114 $2K
81025 60 57 $297.24
81002 40 40 $102.96