Dela Cruz, Maureen

Dela Cruz, Maureen was paid $364K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoDELA CRUZ, MAUREEN
PLAINFIELD, IL 60585

33aNPI1467767566assigned 08/12/2010

33bProvider typeFamily Medicine Physician

28Total paid$364K

24GClaims7,448

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#295 of 2,947

Median peer was paid$43K

This provider vs. median8.5×

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	890	$40K
2019	1,240	$56K
2020	1,388	$69K
2021	1,086	$53K
2022	1,018	$54K
2023	928	$43K
2024incomplete	898	$48K

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	52%	3,929	3,326	$189K
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	34%	1,763	1,531	$125K
96127		7.2%	1,319	1,164	$26K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.5%	215	191	$16K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	71	59	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	31	29	$859.18
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	29	27	$716.93
90686		<1%	56	52	$553.60
99173		<1%	23	23	$171.35
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	12	12	$121.68

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.