Calingacion, Karl Roi

Calingacion, Karl Roi was paid $48K by Medicaid between Mar 2022 and Nov 2024, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 81% of everything it billed.

33Billing provider infoCALINGACION, KARL ROI
LINCOLNWOOD, IL 60712

33aNPI1598410375assigned 02/19/2022

33bProvider typeGerontology Nurse Practitioner

28Total paid$48K

24GClaims1,926

24DCodes billed4

24AFirst – last monthMar 2022 – Nov 2024

Compared with peers

Next to other Gerontology Nurse Practitioner providers in Illinois

Rank by total paid#25 of 98

Median peer was paid$15K

This provider vs. median3.1×

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
2022	962	$22K
2023	895	$24K
2024incomplete	69	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	81%	1,603	1,116	$39K
99310	Prolong nursin fac eval 15m	9.7%	111	98	$5K
99308	Subsequent nursing facility care, per day, straightforward	6.2%	182	165	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.2%	30	29	$2K

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.