Physician
Reyes, Pedro
Reyes, Pedro was paid $500K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoREYES, PEDRO
CHICAGO, IL 60630
CHICAGO, IL 60630
33aNPI1508884602assigned 07/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$500K
24GClaims13,144
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#199 of 2,947
Median peer was paid$43K
This provider vs. median12×
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 | 2,380 | $60K | |
| 2019 | 2,212 | $83K | |
| 2020 | 2,348 | $92K | |
| 2021 | 1,825 | $67K | |
| 2022 | 1,767 | $75K | |
| 2023 | 1,461 | $60K | |
| 2024incomplete | 1,151 | $63K |
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 | 49% | 5,659 | 4,577 | $248K |
| 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 | 30% | 2,374 | 2,051 | $148K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.7% | 523 | 481 | $44K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.7% | 223 | 197 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 226 | 209 | $17K |
| 90686 | 2.9% | 1,278 | 1,110 | $15K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | 25 | $2K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 213 | 92 | $2K |
| 82962 | <1% | 700 | 591 | $1K | |
| 0011A | <1% | 45 | 38 | $1K | |
| 0012A | <1% | 36 | 36 | $875.00 | |
| 90688 | <1% | 68 | 52 | $588.26 |
19 more codes
| 90656 | <1% | 41 | $563.87 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 37 | $485.10 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | $480.00 |
| 96160 | <1% | 29 | $347.54 | |
| 0013A | <1% | 14 | $330.00 | |
| 82948 | <1% | 83 | $265.48 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 23 | $215.82 |
| G0008 | Administration of influenza virus vaccine | <1% | 21 | $106.49 |
| 90734 | <1% | 14 | $97.86 | |
| 90651 | <1% | 15 | $70.40 | |
| 81002 | <1% | 15 | $33.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $21.40 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 389 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 38 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 144 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 152 | $0.00 |
| 99442 | 0% | 40 | $0.00 | |
| 1036F | 0% | 335 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 357 | $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.