Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VNA HEALTH CARE

NPI: 1629102819 · ELGIN, IL 60123 · Federally Qualified Health Center (FQHC) · NPI assigned 03/16/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official VALERIO, MARGARITA controls 15+ related entities in our dataset. Read more

$5.10M
Total Medicaid Paid
113,028
Total Claims
97,988
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVALERIO, MARGARITA (PROVIDER ENROLLMENT)
NPI Enumeration Date03/16/2007

Related Entities

Other providers sharing the same authorized official: VALERIO, MARGARITA

ProviderCityStateTotal Paid
VNA HEALTH CARE AURORA IL $42.81M
VNA HEALTH CARE AURORA IL $22.64M
VNA HEALTH CARE ELGIN IL $18.51M
VNA HEALTH CARE BOLINGBROOK IL $13.98M
VNA HEALTH CARE ROMEOVILLE IL $5.39M
VNA HEALTH CARE JOLIET IL $3.97M
VNA HEALTH CARE CAROL STREAM IL $2.48M
VNA HEALTH CARE BENSENVILLE IL $1.67M
VNA HEALTH CARE CAROL STREAM IL $1.18M
VNA HEALTH CARE AURORA IL $1.10M
VNA HEALTH CARE AURORA IL $808K
VNA HEALTH CARE AURORA IL $76K
VNA HEALTH CARE AURORA IL $34K
VNA HEALTH CARE AURORA IL $23K
VNA HEALTH CARE AURORA IL $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,562 $607K
2019 15,077 $671K
2020 14,927 $775K
2021 14,066 $667K
2022 14,350 $731K
2023 20,248 $696K
2024 25,798 $953K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 35,495 28,353 $5.10M
90688 183 167 $465.03
90651 1,367 1,284 $420.86
90734 837 780 $372.48
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,456 10,372 $296.97
90715 599 568 $175.58
90716 1,733 1,664 $122.02
90686 1,950 1,808 $92.83
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,363 3,897 $69.52
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 342 279 $45.82
90723 2,665 2,507 $0.00
90647 2,514 2,364 $0.00
1126F 5,130 4,829 $0.00
99381 750 710 $0.00
99383 202 169 $0.00
83036 Hemoglobin; glycosylated (A1C) 426 308 $0.00
85018 3,648 3,367 $0.00
3074F 3,764 3,632 $0.00
90696 605 569 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 428 419 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 93 76 $0.00
90619 231 225 $0.00
3044F 13 13 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44 42 $0.00
90656 385 354 $0.00
99384 57 56 $0.00
0500F 16 16 $0.00
1170F 92 89 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,549 3,374 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 306 239 $0.00
3078F 3,749 3,618 $0.00
90707 1,681 1,613 $0.00
90700 600 569 $0.00
90633 1,740 1,673 $0.00
1159F 3,774 3,471 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,878 2,698 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,037 789 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 233 175 $0.00
90681 1,471 1,398 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,031 1,883 $0.00
0502F 799 522 $0.00
90837 Psychotherapy, 53 minutes with patient 92 54 $0.00
90832 Psychotherapy, 30 minutes with patient 292 189 $0.00
1160F 3,829 3,524 $0.00
90670 2,389 2,224 $0.00
81002 97 68 $0.00
90671 893 851 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 120 75 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 33 24 $0.00
3045F 13 13 $0.00
90687 34 27 $0.00