Paguia, Richard

Paguia, Richard was paid $61K by Medicaid between Nov 2020 and Nov 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 56% of everything it billed.

33Billing provider infoPAGUIA, RICHARD
GENEVA, IL 60134

33aNPI1588681498assigned 07/16/2006

33bProvider typeInfectious Disease Physician

28Total paid$61K

24GClaims1,422

24DCodes billed4

24AFirst – last monthNov 2020 – Nov 2024

Compared with peers

Next to other Infectious Disease Physician providers in Illinois

Rank by total paid#100 of 201

Median peer was paid$55K

This provider vs. median1.1×

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
2020	219	$11K
2021	451	$17K
2022	308	$12K
2023	185	$8K
2024incomplete	259	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	56%	810	303	$34K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	21%	420	176	$13K
99223	Prolong inpt eval add15 m	21%	155	132	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	37	25	$1K

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.