NP / PA
Lucia, Robert
Lucia, Robert was paid $31K by Medicaid between Jan 2021 and Oct 2024, across 7 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 54% of everything it billed.
33Billing provider infoLUCIA, ROBERT
PEKIN, IL 61554
PEKIN, IL 61554
33aNPI1558727636assigned 01/06/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$31K
24GClaims432
24DCodes billed7
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#1,541 of 3,353
Median peer was paid$25K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2021 | 136 | $5K | |
| 2022 | 117 | $6K | |
| 2023 | 78 | $11K | |
| 2024incomplete | 101 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 54% | 119 | 119 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 240 | 225 | $9K |
| 99243 | 5.9% | 19 | 19 | $2K | |
| 99205 | Prolong outpt/office vis | 4.8% | 12 | 12 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.0% | 12 | 12 | $934.64 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.9% | 17 | 17 | $600.61 |
| 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% | 13 | 12 | $171.47 |
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.