Zambrano, Carlos

Zambrano, Carlos was paid $953K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 59% of everything it billed.

33Billing provider infoZAMBRANO, CARLOS
CHICAGO, IL 60622

33aNPI1639139272assigned 03/27/2006

33bProvider typeInfectious Disease Physician

28Total paid$953K

24GClaims31,114

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Infectious Disease Physician providers in Illinois

Rank by total paid#2 of 201

Median peer was paid$55K

This provider vs. median17×

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
2018	3,707	$52K
2019	4,205	$67K
2020	6,304	$173K
2021	6,037	$217K
2022	4,284	$167K
2023	3,453	$136K
2024incomplete	3,124	$142K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	59%	22,969	3,650	$559K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	21%	5,074	1,594	$200K
99223	Prolong inpt eval add15 m	20%	2,741	2,525	$191K
99308	Subsequent nursing facility care, per day, straightforward	<1%	177	83	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	84	49	$836.40
99304		<1%	51	49	$504.35
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	18	14	$112.76

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.