Carvalho, Priscilla

Carvalho, Priscilla was paid $32K by Medicaid between Oct 2018 and Apr 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoCARVALHO, PRISCILLA
GLEN ELLYN, IL 60137

33aNPI1699192690assigned 03/27/2014

33bProvider typePediatrics Physician

28Total paid$32K

24GClaims658

24DCodes billed6

24AFirst – last monthOct 2018 – Apr 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#1,049 of 1,805

Median peer was paid$55K

This provider vs. median0.6×

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	28	$578.72
2019	122	$5K
2020	124	$6K
2021	98	$5K
2022	127	$7K
2023	123	$7K
2024incomplete	36	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	77%	544	484	$25K
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	10%	43	40	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.5%	27	25	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.2%	16	13	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.1%	13	13	$998.92
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	15	12	$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.