Physician
Tamayo, Raul
Tamayo, Raul was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoTAMAYO, RAUL
RIVERSIDE, IL 60546
RIVERSIDE, IL 60546
33aNPI1700814183assigned 06/28/2006
33bProvider typePediatrics Physician
28Total paid$1.73M
24GClaims46,684
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#55 of 1,805
Median peer was paid$55K
This provider vs. median31×
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 | 5,310 | $211K | |
| 2019 | 7,897 | $321K | |
| 2020 | 6,562 | $211K | |
| 2021 | 7,192 | $235K | |
| 2022 | 7,807 | $279K | |
| 2023 | 6,064 | $235K | |
| 2024incomplete | 5,852 | $240K |
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% | 9,150 | 7,330 | $435K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 3,668 | 2,999 | $275K |
| 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 | 14% | 3,157 | 2,809 | $240K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 3,246 | 2,657 | $217K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 2,304 | 1,994 | $169K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.1% | 5,510 | 4,807 | $88K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 975 | 873 | $80K |
| 90670 | 4.3% | 2,449 | 1,941 | $75K | |
| 90680 | 1.4% | 1,484 | 1,146 | $24K | |
| 90723 | 1.3% | 1,386 | 1,055 | $23K | |
| 90686 | 1.2% | 2,814 | 2,441 | $20K | |
| 90710 | 1.1% | 957 | 763 | $19K |
21 more codes
| 90648 | <1% | 2,140 | $17K | |
| 96127 | <1% | 807 | $14K | |
| 90633 | <1% | 1,125 | $9K | |
| 81002 | <1% | 3,245 | $8K | |
| 90685 | <1% | 432 | $6K | |
| 90651 | <1% | 458 | $3K | |
| 90734 | <1% | 317 | $3K | |
| 90677 | <1% | 280 | $2K | |
| 90656 | <1% | 196 | $1K | |
| 90681 | <1% | 147 | $940.80 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 40 | $640.27 |
| 0071A | <1% | 15 | $632.10 | |
| 90696 | <1% | 88 | $550.40 | |
| 90715 | <1% | 63 | $501.27 | |
| 90698 | <1% | 72 | $454.40 | |
| 90700 | <1% | 42 | $268.80 | |
| 90620 | <1% | 15 | $96.00 | |
| 85018 | <1% | 34 | $85.16 | |
| 86580 | <1% | 20 | $81.80 | |
| 90619 | <1% | 12 | $76.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 36 | $76.00 |
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.