Duarte, Carlos

Duarte, Carlos was paid $4K by Medicaid between Jan 2018 and Mar 2020, across 2 billing codes. Its largest line is 99285, emergency room visit (most serious) — 68% of everything it billed.

33Billing provider infoDUARTE, CARLOS
GENEVA, IL 60134

33aNPI1710060355assigned 10/24/2006

33bProvider typeEmergency Medicine Physician

28Total paid$4K

24GClaims90

24DCodes billed2

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,871 of 1,980

Median peer was paid$150K

This provider vs. median0.0×

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	33	$2K
2019	43	$2K
2020	14	$450.80

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	68%	48	40	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	32%	42	40	$1K

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.