Mercado, Edgar
Mercado, Edgar was paid $78K by Medicaid between Feb 2022 and Nov 2023, across 2 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 98% of everything it billed.
33Billing provider infoMERCADO, EDGAR
WHEATON, IL 60189
WHEATON, IL 60189
33aNPI1386311371assigned 08/26/2021
33bProvider typeOccupational Therapist
28Total paid$78K
24GClaims999
24DCodes billed2
24AFirst – last monthFeb 2022 – Nov 2023
Compared with peers
Next to other Occupational Therapist providers in Illinois
Rank by total paid#69 of 289
Median peer was paid$24K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2022 | 442 | $33K | |
| 2023 | 557 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 98% | 977 | 381 | $77K |
| 99499 | 1.8% | 22 | 22 | $1K |
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.