Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1558727636assigned 01/06/2016
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

$0$2.0K$4.0K2018201920202021202220232024
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
2021136$5K
2022117$6K
202378$11K
2024incomplete101$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.