Hernandez, Claudia

Hernandez, Claudia was paid $39K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoHERNANDEZ, CLAUDIA
CHICAGO, IL 60612

33aNPI1417018136assigned 12/13/2006

33bProvider typeProcedural Dermatology Physician

28Total paid$39K

24GClaims1,100

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Procedural Dermatology Physician providers in Illinois

Rank by total paid#4 of 7

Median peer was paid$39K

This provider vs. median1.0×

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	55	$641.58
2019	285	$9K
2020	455	$15K
2021	149	$5K
2022	30	$1K
2023	13	$747.59
2024incomplete	113	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	539	515	$16K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	25%	259	250	$10K
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	23%	151	136	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.6%	113	103	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	3.1%	14	13	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	24	24	$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.