Physician
Ruiz, Oscar
Ruiz, Oscar was paid $575K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoRUIZ, OSCAR
BURBANK, IL 60459
BURBANK, IL 60459
33aNPI1427046648assigned 10/11/2005
33bProvider typeFamily Medicine Physician
28Total paid$575K
24GClaims12,443
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#178 of 2,947
Median peer was paid$43K
This provider vs. median14×
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 | 1,880 | $85K | |
| 2019 | 2,322 | $110K | |
| 2020 | 3,162 | $147K | |
| 2021 | 3,791 | $164K | |
| 2022 | 555 | $24K | |
| 2023 | 419 | $21K | |
| 2024incomplete | 314 | $23K |
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 | 50% | 4,425 | 3,742 | $288K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 4,560 | 3,904 | $201K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 274 | 252 | $23K |
| 96127 | 2.1% | 845 | 769 | $12K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 143 | 137 | $11K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.7% | 431 | 344 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 488 | 388 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 68 | 66 | $6K |
| 90686 | <1% | 509 | 460 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 90 | 83 | $3K |
| 0002A | <1% | 38 | 38 | $2K | |
| 0013A | <1% | 39 | 39 | $1K |
11 more codes
| 90688 | <1% | 93 | $1K | |
| 99173 | <1% | 180 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $934.44 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 52 | $800.70 |
| 90656 | <1% | 37 | $717.51 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 66 | $598.59 |
| 0001A | <1% | 23 | $575.00 | |
| 0003A | <1% | 12 | $480.00 | |
| 90651 | <1% | 32 | $250.94 | |
| 90620 | <1% | 14 | $83.20 | |
| 90734 | <1% | 12 | $76.80 |
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.