Hizon, Miguel

Hizon, Miguel was paid $194K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 51% of everything it billed.

33Billing provider infoHIZON, MIGUEL
KANKAKEE, IL 60901

33aNPI1730184086assigned 06/14/2005

33bProvider typeNephrology Physician

28Total paid$194K

24GClaims6,219

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Illinois

Rank by total paid#59 of 327

Median peer was paid$68K

This provider vs. median2.9×

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
2018	906	$23K
2019	1,132	$30K
2020	1,127	$28K
2021	1,052	$38K
2022	939	$30K
2023	766	$31K
2024incomplete	297	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	51%	1,380	1,341	$99K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	28%	3,600	1,330	$55K
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	13%	737	675	$25K
90962		1.6%	35	35	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.6%	132	124	$3K
90961		1.3%	33	33	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.2%	85	46	$2K
99223	Prolong inpt eval add15 m	<1%	101	98	$2K
90966		<1%	16	16	$1K
99490	Ccm add 20min	<1%	100	100	$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.