Mena Lora, Alfredo

Mena Lora, Alfredo was paid $71K by Medicaid between Mar 2018 and Jul 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 27% of everything it billed.

33Billing provider infoMENA LORA, ALFREDO
CHICAGO, IL 60623

33aNPI1639307283assigned 06/22/2009

33bProvider typeSurgery Physician

28Total paid$71K

24GClaims1,544

24DCodes billed7

24AFirst – last monthMar 2018 – Jul 2024

Compared with peers

Next to other Surgery Physician providers in Illinois

Rank by total paid#41 of 422

Median peer was paid$5K

This provider vs. median14×

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	58	$5K
2019	498	$24K
2020	332	$13K
2021	123	$4K
2022	233	$9K
2023	251	$14K
2024incomplete	49	$2K

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	27%	684	321	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	187	148	$13K
99254		17%	180	166	$12K
99222	Initial hospital care, per day, moderate complexity	16%	228	211	$11K
99221		12%	153	133	$9K
99253		8.6%	98	82	$6K
99223	Prolong inpt eval add15 m	<1%	14	12	$345.00

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.