Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Flores, Jose Mario

Flores, Jose Mario was paid $23K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is G0181, Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans — 86% of everything it billed.

33Billing provider infoFLORES, JOSE MARIO
OAK FOREST, IL 60452
33aNPI1568530400assigned 11/30/2006
28Total paid$23K
24GClaims2,778
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,786 of 2,947
Median peer was paid$43K
This provider vs. median0.5×

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$500$1.0K$1.5K2018201920202021202220232024
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
2018314$3K
2019240$0.00
2020426$367.36
2021270$4K
2022388$3K
2023595$7K
2024incomplete545$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 86% 1,013 982 $19K
99348 9.5% 645 585 $2K
99349 3.6% 848 813 $814.39
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1.3% 69 62 $286.89
99490 Ccm add 20min 0% 96 96 $0.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 0% 45 30 $0.00
99350 Prolong home eval add 15m 0% 62 62 $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.