Physician
Menendez, Cesar
Menendez, Cesar was paid $428K by Medicaid between Jan 2018 and Jun 2019, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoMENENDEZ, CESAR
LA GRANGE PARK, IL 60526
LA GRANGE PARK, IL 60526
33aNPI1699752485assigned 12/22/2005
33bProvider typePediatrics Physician
28Total paid$428K
24GClaims14,370
24DCodes billed29
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#334 of 1,805
Median peer was paid$55K
This provider vs. median7.8×
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 | 10,818 | $316K | |
| 2019 | 3,552 | $112K |
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 | 25% | 2,374 | 2,019 | $105K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 748 | 624 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 730 | 614 | $54K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.3% | 439 | 380 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 361 | 299 | $25K |
| 90651 | 5.3% | 326 | 249 | $23K | |
| 90686 | 4.6% | 1,631 | 1,370 | $20K | |
| 90670 | 3.5% | 348 | 294 | $15K | |
| 99401 | 3.3% | 554 | 290 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 803 | 678 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.2% | 781 | 629 | $9K |
| 90698 | 1.9% | 345 | 292 | $8K |
17 more codes
| 83655 | 1.8% | 672 | $8K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.6% | 95 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 383 | $6K |
| 90620 | 1.3% | 91 | $6K | |
| 90734 | 1.3% | 173 | $5K | |
| 90710 | 1.1% | 112 | $5K | |
| 36416 | <1% | 953 | $4K | |
| 86580 | <1% | 815 | $3K | |
| 85018 | <1% | 954 | $2K | |
| 90633 | <1% | 129 | $2K | |
| 90685 | <1% | 141 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | $913.40 |
| 90744 | <1% | 78 | $865.16 | |
| 90680 | <1% | 33 | $791.43 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 77 | $311.60 |
| 90715 | <1% | 14 | $280.75 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 174 | $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.