Physician
Novales, Jaime
Novales, Jaime was paid $412K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 20% of everything it billed.
33Billing provider infoNOVALES, JAIME
MILWAUKEE, WI 53209
MILWAUKEE, WI 53209
33aNPI1730395609assigned 05/15/2007
33bProvider typePediatrics Physician
28Total paid$412K
24GClaims8,751
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#24 of 200
Median peer was paid$4K
This provider vs. median95×
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 | 560 | $26K | |
| 2019 | 1,262 | $57K | |
| 2020 | 1,677 | $71K | |
| 2021 | 1,497 | $58K | |
| 2022 | 1,107 | $57K | |
| 2023 | 1,059 | $58K | |
| 2024incomplete | 1,589 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 1,111 | 948 | $84K |
| 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 | 20% | 1,077 | 1,012 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 1,542 | 1,360 | $71K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 872 | 726 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 501 | 442 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 285 | 232 | $22K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.9% | 844 | 747 | $16K |
| 96127 | 1.8% | 460 | 412 | $7K | |
| 90686 | 1.7% | 598 | 542 | $7K | |
| 90677 | 1.4% | 91 | 81 | $6K | |
| 90670 | 1.3% | 316 | 254 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 47 | 41 | $3K |
15 more codes
| 90656 | <1% | 118 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 76 | $2K |
| 90651 | <1% | 16 | $2K | |
| 90647 | <1% | 148 | $1K | |
| 90723 | <1% | 107 | $1K | |
| 90734 | <1% | 63 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 73 | $1K |
| 90680 | <1% | 108 | $1K | |
| 90698 | <1% | 73 | $544.14 | |
| 90633 | <1% | 61 | $390.40 | |
| 90696 | <1% | 19 | $261.79 | |
| 85018 | <1% | 101 | $229.68 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $193.20 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $187.80 |
| 90744 | <1% | 16 | $96.00 |
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.