Pineda, Stephen

Pineda, Stephen was paid $26K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 68% of everything it billed.

33Billing provider infoPINEDA, STEPHEN
SPRINGFIELD, IL 62702

33aNPI1528178654assigned 08/30/2006

33bProvider typeOrthopaedic Surgery of the Spine Physician

28Total paid$26K

24GClaims1,218

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery of the Spine Physician providers in Illinois

Rank by total paid#8 of 27

Median peer was paid$11K

This provider vs. median2.4×

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	126	$2K
2019	190	$4K
2020	208	$4K
2021	229	$5K
2022	255	$6K
2023	157	$5K
2024incomplete	53	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	68%	961	892	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	230	222	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	13	13	$686.50
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.3%	14	14	$329.60

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.