Physician
Oroza-Henners, Gustavo
Oroza-Henners, Gustavo was paid $1.38M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoOROZA-HENNERS, GUSTAVO
CHICAGO, IL 60608
CHICAGO, IL 60608
33aNPI1437228806assigned 11/07/2006
33bProvider typePediatrics Physician
28Total paid$1.38M
24GClaims54,659
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#86 of 1,805
Median peer was paid$55K
This provider vs. median25×
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 | 5,413 | $130K | |
| 2019 | 6,326 | $153K | |
| 2020 | 5,721 | $125K | |
| 2021 | 5,627 | $131K | |
| 2022 | 13,858 | $361K | |
| 2023 | 9,173 | $250K | |
| 2024incomplete | 8,541 | $234K |
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 | 18% | 5,111 | 4,450 | $249K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 15% | 2,533 | 2,350 | $209K |
| 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 | 14% | 2,418 | 2,225 | $191K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 1,777 | 1,623 | $133K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.7% | 4,225 | 3,980 | $107K |
| 92551 | 5.1% | 4,709 | 4,319 | $71K | |
| 92015 | Determination of refractive state | 4.4% | 3,445 | 3,126 | $61K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 675 | 573 | $51K |
| 90686 | 3.5% | 3,776 | 3,557 | $48K | |
| 96127 | 2.1% | 1,990 | 1,829 | $29K | |
| 96160 | 1.4% | 1,378 | 1,249 | $20K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 1,077 | 870 | $18K |
44 more codes
| 90620 | 1.1% | 898 | $15K | |
| 0124A | 1.1% | 346 | $15K | |
| 90651 | 1.0% | 675 | $14K | |
| 86580 | <1% | 2,723 | $14K | |
| 85018 | <1% | 5,744 | $13K | |
| 83655 | <1% | 1,117 | $13K | |
| 81002 | <1% | 4,672 | $12K | |
| 90734 | <1% | 580 | $9K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 119 | $8K |
| 0003A | <1% | 188 | $8K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 192 | $8K |
| 0072A | <1% | 161 | $7K | |
| 0154A | <1% | 146 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 198 | $6K |
| 0071A | <1% | 143 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,267 | $5K |
| 92587 | <1% | 340 | $4K | |
| 91320 | <1% | 140 | $4K | |
| 0001A | <1% | 98 | $4K | |
| 90685 | <1% | 273 | $4K | |
| 0002A | <1% | 79 | $3K | |
| 0073A | <1% | 76 | $3K | |
| 0053A | <1% | 64 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 105 | $2K |
| 90672 | <1% | 123 | $2K | |
| 91319 | <1% | 50 | $2K | |
| 0121A | <1% | 37 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $1K |
| 0081A | <1% | 26 | $1K | |
| 90670 | <1% | 78 | $767.23 | |
| 91304 | <1% | 27 | $451.17 | |
| 90700 | <1% | 25 | $419.43 | |
| 90715 | <1% | 19 | $301.73 | |
| 90656 | <1% | 19 | $284.07 | |
| 90633 | <1% | 19 | $239.27 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $219.80 |
| 91300 | <1% | 202 | $0.28 | |
| 91312 | <1% | 148 | $0.05 | |
| 91307 | <1% | 242 | $0.05 | |
| 91305 | <1% | 22 | $0.03 | |
| 91308 | <1% | 19 | $0.02 | |
| 91317 | <1% | 12 | $0.02 | |
| 91315 | <1% | 88 | $0.01 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 15 | $0.00 |
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.