Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Rivera, Lila

Rivera, Lila was paid $75K by Medicaid between Feb 2020 and Nov 2024, across 8 billing codes. Its largest line is 99342, — 53% of everything it billed.

33Billing provider infoRIVERA, LILA
OAKBROOK TERRACE, IL 60181
33aNPI1518506625assigned 01/06/2020
28Total paid$75K
24GClaims403
24DCodes billed8
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers

Next to other Adult Health Nurse Practitioner providers in Illinois

Rank by total paid#57 of 261
Median peer was paid$13K
This provider vs. median5.9×

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$5.0K$10K$15K2018201920202021202220232024
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
202057$295.54
202128$542.54
202235$6K
202381$21K
2024incomplete202$47K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99342 53% 169 137 $39K
99344 17% 52 52 $13K
99348 16% 50 49 $12K
99343 8.7% 51 50 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5.1% 12 12 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 27 25 $163.17
99308 Subsequent nursing facility care, per day, straightforward <1% 30 24 $132.37
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 0% 12 12 $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.