Pineda, Mauricio
Pineda, Mauricio was paid $15K by Medicaid between Jan 2024 and Dec 2024, across 2 billing codes. Its largest line is 99284, emergency room visit (serious) — 93% of everything it billed.
33Billing provider infoPINEDA, MAURICIO
LAKE FOREST, IL 60045
LAKE FOREST, IL 60045
33aNPI1407595192assigned 06/01/2022
33bProvider typeEmergency Registered Nurse
28Total paid$15K
24GClaims209
24DCodes billed2
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Emergency Registered Nurse providers in Illinois
Rank by total paid#13 of 18
Median peer was paid$36K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2024incomplete | 209 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 93% | 180 | 165 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 29 | 29 | $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.