Physician
Egues, Darlene
Egues, Darlene was paid $192K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoEGUES, DARLENE
CHICAGO, IL 60613
CHICAGO, IL 60613
33aNPI1700872900assigned 09/22/2005
33bProvider typePediatrics Physician
28Total paid$192K
24GClaims7,397
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#565 of 1,805
Median peer was paid$55K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2018 | 443 | $24K | |
| 2019 | 1,065 | $36K | |
| 2020 | 646 | $8K | |
| 2021 | 1,023 | $20K | |
| 2022 | 877 | $27K | |
| 2023 | 1,090 | $31K | |
| 2024incomplete | 2,253 | $46K |
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 | 61% | 1,633 | 1,396 | $117K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 16% | 396 | 227 | $32K |
| 96160 | 8.3% | 850 | 480 | $16K | |
| 96127 | 5.7% | 777 | 448 | $11K | |
| 90686 | 3.0% | 490 | 390 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 71 | 59 | $5K |
| 90656 | 1.3% | 215 | 140 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 146 | 140 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | 24 | $417.95 |
| 99000 | <1% | 16 | 13 | $375.36 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | 14 | $153.34 |
| 90651 | <1% | 12 | 12 | $76.80 |
9 more codes
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.