Cavalenes, Mark

Cavalenes, Mark was paid $195K by Medicaid between Sep 2021 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoCAVALENES, MARK
OAK PARK, IL 60301

33aNPI1437231057assigned 10/20/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$195K

24GClaims3,578

24DCodes billed8

24AFirst – last monthSep 2021 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Illinois

Rank by total paid#32 of 422

Median peer was paid$21K

This provider vs. median9.5×

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
2021	205	$10K
2022	1,013	$55K
2023	1,269	$66K
2024incomplete	1,091	$64K

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	79%	2,569	2,047	$153K
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	10%	252	231	$20K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.6%	243	208	$11K
20610		1.6%	69	50	$3K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1.6%	235	164	$3K
73130		1.0%	99	78	$2K
73110		<1%	71	46	$2K
73610		<1%	40	27	$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.