Physician
Diaz Duran, Eliana
Diaz Duran, Eliana was paid $268K by Medicaid between Feb 2023 and Dec 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoDIAZ DURAN, ELIANA
ROCKY RIVER, OH 44116
ROCKY RIVER, OH 44116
33aNPI1649831983assigned 06/26/2019
33bProvider typePediatrics Physician
28Total paid$268K
24GClaims2,497
24DCodes billed7
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#99 of 401
Median peer was paid$30K
This provider vs. median9.1×
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 | |
|---|---|---|---|
| 2023 | 907 | $101K | |
| 2024incomplete | 1,590 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 1,385 | 1,188 | $268K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 140 | 138 | $125.10 |
| 90461 | <1% | 51 | 51 | $21.08 | |
| 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 | 0% | 321 | 300 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 550 | 504 | $0.00 |
| 3008F | 0% | 12 | 12 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 38 | 37 | $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.