Avila, Carlos

Avila, Carlos was paid $268K by Medicaid between Jul 2018 and Apr 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoAVILA, CARLOS
SPRINGFIELD, IL 62702

33aNPI1386059624assigned 06/25/2014

33bProvider typeFamily Medicine Physician

28Total paid$268K

24GClaims4,423

24DCodes billed6

24AFirst – last monthJul 2018 – Apr 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#421 of 2,947

Median peer was paid$43K

This provider vs. median6.3×

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	42	$2K
2019	439	$29K
2020	807	$55K
2021	1,045	$58K
2022	1,073	$62K
2023	843	$51K
2024incomplete	174	$12K

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	86%	3,337	2,674	$231K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	747	626	$32K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.1%	191	144	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	18	13	$1K
81002		<1%	21	12	$54.25
36415	Collection of venous blood by venipuncture	<1%	109	93	$16.72

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.