Carbonara, Kimberly

Carbonara, Kimberly was paid $155K by Medicaid between Jan 2018 and Mar 2021, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoCARBONARA, KIMBERLY
AURORA, IL 60506

33aNPI1730328154assigned 02/09/2009

33bProvider typePediatrics Physician

28Total paid$155K

24GClaims4,049

24DCodes billed20

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#620 of 1,805

Median peer was paid$55K

This provider vs. median2.8×

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	2,451	$101K
2019	555	$21K
2020	760	$25K
2021	283	$8K

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	40%	1,368	1,192	$62K
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	24%	530	481	$38K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	233	227	$18K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	10%	218	203	$16K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.6%	106	104	$9K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.3%	421	409	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.4%	83	72	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	15	12	$1K
36415	Collection of venous blood by venipuncture	<1%	238	227	$815.90
90686		<1%	122	107	$780.80
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	55	53	$681.56
36416		<1%	98	70	$377.20

8 more codes

85018		<1%	96	$208.80
90651		<1%	24	$153.60
90734		<1%	14	$89.60
90648		<1%	13	$83.20
90685		<1%	13	$83.20
90700		<1%	12	$76.80
99051		0%	365	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	25	$0.00

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.