Physician
Zarzuela, Cassia
Zarzuela, Cassia was paid $269K by Medicaid between Feb 2023 and Dec 2024, across 24 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 21% of everything it billed.
33Billing provider infoZARZUELA, CASSIA
OSWEGO, IL 60543
OSWEGO, IL 60543
33aNPI1700012713assigned 06/04/2009
33bProvider typePediatrics Physician
28Total paid$269K
24GClaims6,538
24DCodes billed24
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#458 of 1,805
Median peer was paid$55K
This provider vs. median4.9×
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 | 2,981 | $124K | |
| 2024incomplete | 3,557 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 737 | 523 | $57K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 806 | 683 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,029 | 927 | $54K |
| 90677 | 11% | 404 | 351 | $29K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 165 | 154 | $12K |
| 90698 | 3.8% | 616 | 498 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 515 | 425 | $9K |
| 90680 | 2.4% | 381 | 327 | $6K | |
| 90686 | 1.8% | 291 | 239 | $5K | |
| 90744 | 1.7% | 275 | 234 | $5K | |
| D1206 | Topical application of fluoride varnish | 1.7% | 167 | 98 | $4K |
| 90633 | 1.7% | 266 | 187 | $4K |
12 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 48 | $4K |
| 96127 | 1.2% | 117 | $3K | |
| 90710 | 1.0% | 162 | $3K | |
| 90670 | <1% | 136 | $2K | |
| 83655 | <1% | 98 | $1K | |
| 90656 | <1% | 48 | $802.08 | |
| 90661 | <1% | 46 | $785.37 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 59 | $650.29 |
| 90651 | <1% | 34 | $568.14 | |
| 85018 | <1% | 114 | $264.84 | |
| 90619 | <1% | 12 | $200.52 | |
| 36416 | <1% | 12 | $49.20 |
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.