Duran, Anthony

Duran, Anthony was paid $19K by Medicaid between Feb 2019 and Feb 2024, across 10 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 54% of everything it billed.

33Billing provider infoDURAN, ANTHONY
HUNTLEY, IL 60142

33aNPI1427549534assigned 05/24/2018

33bProvider typeInternal Medicine Physician

28Total paid$19K

24GClaims391

24DCodes billed10

24AFirst – last monthFeb 2019 – Feb 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#2,097 of 3,722

Median peer was paid$26K

This provider vs. median0.7×

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
2019	54	$2K
2020	123	$6K
2023	172	$9K
2024incomplete	42	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	54%	100	100	$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	9.9%	127	98	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.8%	40	26	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.7%	41	29	$2K
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	5.4%	15	12	$1K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	5.3%	14	12	$1K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	3.4%	15	13	$640.58
99201		1.8%	13	13	$331.50
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	14	14	$41.38
S9083	Global fee urgent care centers	<1%	12	12	$37.50

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.