Physician
Padilla, Nicole
Padilla, Nicole was paid $234K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 11043, — 36% of everything it billed.
33Billing provider infoPADILLA, NICOLE
WEST DUNDEE, IL 60118
WEST DUNDEE, IL 60118
33aNPI1457791741assigned 07/01/2013
33bProvider typeFamily Medicine Physician
28Total paid$234K
24GClaims8,060
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#492 of 2,947
Median peer was paid$43K
This provider vs. median5.5×
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 | |
|---|---|---|---|
| 2018 | 269 | $3K | |
| 2019 | 1,031 | $16K | |
| 2020 | 2,643 | $71K | |
| 2021 | 2,626 | $93K | |
| 2022 | 944 | $41K | |
| 2023 | 34 | $630.74 | |
| 2024incomplete | 513 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11043 | 36% | 929 | 391 | $84K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 24% | 1,922 | 815 | $55K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 9.2% | 1,724 | 1,015 | $22K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.1% | 951 | 637 | $17K |
| 17250 | 4.6% | 1,203 | 518 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 223 | 209 | $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 | 4.0% | 148 | 139 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.7% | 211 | 203 | $9K |
| 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 | 2.3% | 69 | 66 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 97 | 96 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 82 | 81 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 223 | 115 | $2K |
8 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 79 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 67 | $1K |
| 97597 | <1% | 39 | $435.78 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $308.40 |
| 99304 | <1% | 20 | $299.57 | |
| 99307 | <1% | 13 | $146.20 | |
| 81025 | <1% | 17 | $87.89 | |
| 81002 | <1% | 30 | $75.40 |
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.