Dlugopolski-Gach, Josephine

Dlugopolski-Gach, Josephine was paid $102K by Medicaid between Jan 2018 and Jun 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoDLUGOPOLSKI-GACH, JOSEPHINE
MAYWOOD, IL 60153

33aNPI1679543151assigned 01/25/2006

33bProvider typePediatrics Physician

28Total paid$102K

24GClaims1,918

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#730 of 1,805

Median peer was paid$55K

This provider vs. median1.8×

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	609	$29K
2019	413	$20K
2020	376	$21K
2021	417	$26K
2022	103	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	47%	778	645	$48K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45%	1,017	825	$45K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.9%	89	74	$7K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.2%	15	15	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	19	15	$563.35

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.