Cespedes, David

Cespedes, David was paid $219K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoCESPEDES, DAVID
LOMBARD, IL 60148

33aNPI1699775650assigned 07/29/2005

33bProvider typeFamily Medicine Physician

28Total paid$219K

24GClaims4,902

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#529 of 2,947

Median peer was paid$43K

This provider vs. median5.1×

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
2018	398	$13K
2019	621	$25K
2020	785	$33K
2021	730	$32K
2022	763	$35K
2023	865	$42K
2024incomplete	740	$40K

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%	3,937	3,389	$169K
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	18%	613	543	$40K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.5%	38	32	$3K
90686		1.4%	220	200	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.4%	40	40	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	12	$256.50
36415	Collection of venous blood by venipuncture	<1%	42	14	$153.93

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.