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

Rojas, Michelle

Rojas, Michelle was paid $1.74M by Medicaid between Jan 2018 and Nov 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoROJAS, MICHELLE
CHICAGO, IL 60632
33aNPI1629105739assigned 02/27/2007
33bProvider typePediatrics Physician
28Total paid$1.74M
24GClaims88,824
24DCodes billed61
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#53 of 1,805
Median peer was paid$55K
This provider vs. median32×

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$25K$50K$75K2018201920202021202220232024
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
20185,980$148K
20199,061$161K
20209,789$122K
202115,273$294K
202222,620$512K
202316,889$322K
2024incomplete9,212$181K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 12,715 9,257 $629K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11% 2,597 1,975 $197K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8.9% 1,090 723 $155K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8.0% 9,038 6,665 $139K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 6.8% 2,918 2,002 $119K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5.9% 3,842 2,813 $103K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.6% 766 707 $63K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3.1% 2,320 1,681 $54K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.4% 559 477 $43K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.4% 947 782 $42K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.3% 523 513 $40K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2.1% 478 279 $36K
49 more codes
90651 <1% 287 $15K
96160 <1% 925 $13K
90686 <1% 1,170 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 169 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 170 $9K
0071A <1% 208 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 332 $8K
0072A <1% 173 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 579 $7K
0001A <1% 104 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 264 $4K
0002A <1% 83 $3K
99051 <1% 909 $3K
83655 <1% 217 $3K
90734 <1% 177 $2K
0003A <1% 42 $2K
90620 <1% 107 $1K
90661 <1% 78 $1K
36416 <1% 244 $967.60
90648 <1% 112 $821.44
0124A <1% 18 $752.40
90688 <1% 87 $663.84
85018 <1% 261 $605.52
94762 <1% 734 $569.40
90670 <1% 76 $480.00
90715 <1% 43 $419.54
90633 <1% 16 $263.21
90723 <1% 28 $179.20
86580 <1% 42 $168.00
90716 <1% 12 $76.80
90707 <1% 12 $76.80
91300 <1% 119 $0.35
3074F 0% 1,737 $0.00
1220F 0% 605 $0.00
1036F 0% 827 $0.00
91307 0% 369 $0.00
4045F 0% 960 $0.00
96161 0% 18 $0.00
1159F 0% 14,407 $0.00
90461 0% 1,523 $0.00
1003F 0% 821 $0.00
3078F 0% 1,709 $0.00
4274F 0% 918 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 3,516 $0.00
1160F 0% 14,404 $0.00
4120F 0% 425 $0.00
3210F 0% 947 $0.00
4124F 0% 29 $0.00
91312 0% 18 $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.