Physician
Guzman, Alma
Guzman, Alma was paid $1.48M by Medicaid between Sep 2019 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoGUZMAN, ALMA
GURNEE, IL 60031
GURNEE, IL 60031
33aNPI1366530503assigned 10/11/2006
33bProvider typePediatrics Physician
28Total paid$1.48M
24GClaims44,336
24DCodes billed51
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#74 of 1,805
Median peer was paid$55K
This provider vs. median27×
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 | |
|---|---|---|---|
| 2019 | 1,433 | $48K | |
| 2020 | 4,772 | $155K | |
| 2021 | 8,311 | $262K | |
| 2022 | 9,299 | $321K | |
| 2023 | 11,078 | $354K | |
| 2024incomplete | 9,443 | $341K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 3,682 | 3,139 | $294K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 5,152 | 4,386 | $264K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.0% | 1,750 | 1,473 | $133K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 1,874 | 1,390 | $128K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.8% | 2,867 | 2,441 | $101K |
| 96127 | 6.8% | 6,148 | 4,794 | $100K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 910 | 810 | $68K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.3% | 771 | 712 | $64K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.3% | 3,479 | 2,820 | $64K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.4% | 1,501 | 1,381 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 1,303 | 1,117 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 1,639 | 972 | $32K |
39 more codes
| 96160 | 2.0% | 1,676 | $30K | |
| 87428 | 1.7% | 390 | $25K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 1,486 | $23K |
| 99173 | <1% | 1,366 | $10K | |
| 83655 | <1% | 695 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 528 | $8K |
| Q3014 | Telehealth originating site facility fee | <1% | 305 | $7K |
| 90686 | <1% | 420 | $7K | |
| 90651 | <1% | 290 | $5K | |
| 0071A | <1% | 97 | $4K | |
| 90670 | <1% | 221 | $4K | |
| 85018 | <1% | 1,601 | $4K | |
| 0072A | <1% | 81 | $3K | |
| 90656 | <1% | 206 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 294 | $3K |
| 90633 | <1% | 202 | $3K | |
| 36416 | <1% | 778 | $3K | |
| 90698 | <1% | 135 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 41 | $2K |
| 90677 | <1% | 82 | $2K | |
| 90680 | <1% | 83 | $1K | |
| 90648 | <1% | 71 | $1K | |
| 90619 | <1% | 59 | $994.18 | |
| 99000 | <1% | 53 | $896.52 | |
| 90621 | <1% | 51 | $852.21 | |
| 90744 | <1% | 36 | $601.10 | |
| 91321 | <1% | 30 | $501.30 | |
| 90707 | <1% | 21 | $338.46 | |
| 90716 | <1% | 21 | $338.46 | |
| 90700 | <1% | 12 | $200.52 | |
| 3210F | 0% | 285 | $0.00 | |
| 4274F | 0% | 493 | $0.00 | |
| 1003F | 0% | 326 | $0.00 | |
| 99072 | 0% | 340 | $0.00 | |
| 3008F | 0% | 191 | $0.00 | |
| 96161 | 0% | 51 | $0.00 | |
| 1036F | 0% | 83 | $0.00 | |
| 1220F | 0% | 83 | $0.00 | |
| 3351F | 0% | 77 | $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.