Behavioral
Rivera, Lorna
Rivera, Lorna was paid $540K by Medicaid between Dec 2019 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.
33Billing provider infoRIVERA, LORNA
MCHENRY, IL 60050
MCHENRY, IL 60050
33aNPI1730197906assigned 08/04/2006
33bProvider typeProfessional Counselor
28Total paid$540K
24GClaims4,679
24DCodes billed3
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers
Next to other Professional Counselor providers in Illinois
Rank by total paid#23 of 314
Median peer was paid$39K
This provider vs. median14×
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 | 33 | $2K | |
| 2020 | 1,143 | $112K | |
| 2021 | 1,105 | $122K | |
| 2022 | 841 | $100K | |
| 2023 | 847 | $107K | |
| 2024incomplete | 710 | $97K |
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 | 95% | 4,393 | 3,965 | $514K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 218 | 171 | $15K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.2% | 68 | 49 | $12K |
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.