Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Oak Park › NPI 1508251109
Physician

Nuval, Anthony

Nuval, Anthony was paid $435K by Medicaid between Jul 2018 and Jul 2022, across 10 billing codes. Its largest line is 99285, emergency room visit (most serious) — 45% of everything it billed.

33Billing provider infoNUVAL, ANTHONY
OAK PARK, IL 60302
33aNPI1508251109assigned 03/31/2015
28Total paid$435K
24GClaims13,704
24DCodes billed10
24AFirst – last monthJul 2018 – Jul 2022
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#212 of 1,980
Median peer was paid$150K
This provider vs. median2.9×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018771$27K
20193,944$105K
20204,351$120K
20212,847$95K
20221,791$87K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 45% 2,854 2,466 $195K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 43% 3,750 3,209 $185K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 1,630 1,480 $51K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 412 280 $4K
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 851 701 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 1,882 1,577 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 697 576 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 481 394 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 918 677 $0.00
99053 0% 229 212 $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.