Physician
Pajares, Maricruz
Pajares, Maricruz was paid $108K by Medicaid between Feb 2019 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoPAJARES, MARICRUZ
BLOOMINGDALE, IL 60108
BLOOMINGDALE, IL 60108
33aNPI1700225810assigned 06/21/2013
33bProvider typeFamily Medicine Physician
28Total paid$108K
24GClaims2,304
24DCodes billed11
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#918 of 2,947
Median peer was paid$43K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2019 | 248 | $12K | |
| 2020 | 473 | $23K | |
| 2021 | 492 | $23K | |
| 2022 | 603 | $26K | |
| 2023 | 359 | $19K | |
| 2024incomplete | 129 | $5K |
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 | 75% | 1,151 | 974 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 414 | 366 | $19K |
| 80053 | Comprehensive metabolic panel | 2.2% | 244 | 232 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.8% | 139 | 137 | $2K |
| 90674 | <1% | 25 | 13 | $763.35 | |
| 90688 | <1% | 43 | 43 | $602.95 | |
| 80061 | Lipid panel | <1% | 78 | 77 | $566.45 |
| 86769 | <1% | 13 | 12 | $547.69 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 116 | 76 | $463.30 |
| 85027 | <1% | 53 | 50 | $254.26 | |
| 84439 | <1% | 28 | 27 | $211.23 |
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.