Clinic
Vna Health Care
Vna Health Care was paid $18.51M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoVNA HEALTH CARE
ELGIN, IL 60120
ELGIN, IL 60120
33aNPI1740533546assigned 10/18/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$18.51M
24GClaims388,985
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#21 of 296
Median peer was paid$1.43M
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official VALERIO, MARGARITA controls 15+ related entities in our dataset. Read more
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 | 35,330 | $2.05M | |
| 2019 | 71,973 | $2.82M | |
| 2020 | 43,382 | $2.77M | |
| 2021 | 34,316 | $2.47M | |
| 2022 | 44,174 | $2.67M | |
| 2023 | 76,329 | $2.49M | |
| 2024incomplete | 83,481 | $3.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 127,575 | 91,629 | $18.25M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 2,129 | 1,447 | $148K |
| 90651 | <1% | 1,830 | 1,491 | $28K | |
| 90734 | <1% | 1,237 | 924 | $16K | |
| 90716 | <1% | 1,758 | 1,300 | $14K | |
| 90670 | <1% | 2,916 | 2,192 | $13K | |
| 90707 | <1% | 1,677 | 1,220 | $7K | |
| 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% | 57,592 | 44,312 | $7K |
| 90633 | <1% | 1,780 | 1,349 | $4K | |
| 90688 | <1% | 445 | 321 | $3K | |
| 90696 | <1% | 572 | 415 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,860 | 1,547 | $3K |
70 more codes
| 90715 | <1% | 805 | $3K | |
| 90700 | <1% | 623 | $2K | |
| 90647 | <1% | 2,232 | $2K | |
| 90723 | <1% | 2,366 | $1K | |
| 0503F | <1% | 1,013 | $1K | |
| 90681 | <1% | 1,353 | $679.35 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,719 | $495.04 |
| 90686 | <1% | 2,277 | $401.47 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,368 | $393.22 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,277 | $342.60 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,798 | $256.30 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 495 | $248.88 |
| 99385 | <1% | 863 | $209.92 | |
| 90713 | <1% | 44 | $191.82 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,310 | $176.44 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,049 | $141.69 |
| 90685 | <1% | 508 | $74.40 | |
| 0500F | <1% | 2,568 | $44.10 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,690 | $18.90 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,487 | $15.70 |
| 81002 | <1% | 4,456 | $2.60 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,190 | $0.00 |
| 3077F | 0% | 1,121 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,092 | $0.00 |
| 81025 | 0% | 599 | $0.00 | |
| 0502F | 0% | 14,944 | $0.00 | |
| 1160F | 0% | 17,934 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 3,261 | $0.00 |
| 1159F | 0% | 17,626 | $0.00 | |
| 3045F | 0% | 73 | $0.00 | |
| 94664 | 0% | 25 | $0.00 | |
| 3051F | 0% | 76 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 3,979 | $0.00 |
| 3046F | 0% | 580 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 99 | $0.00 |
| 3078F | 0% | 20,260 | $0.00 | |
| 81003 | 0% | 374 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 2,577 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 14 | $0.00 |
| 59025 | Fetal non-stress test | 0% | 13 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 53 | $0.00 |
| 90671 | 0% | 43 | $0.00 | |
| 99382 | 0% | 27 | $0.00 | |
| 69210 | 0% | 12 | $0.00 | |
| 11981 | 0% | 15 | $0.00 | |
| 85018 | 0% | 3,466 | $0.00 | |
| 1125F | 0% | 1,072 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 97 | $0.00 |
| 3044F | 0% | 1,055 | $0.00 | |
| 90619 | 0% | 485 | $0.00 | |
| 99381 | 0% | 854 | $0.00 | |
| 1126F | 0% | 9,728 | $0.00 | |
| 3079F | 0% | 3,894 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 603 | $0.00 |
| 99384 | 0% | 250 | $0.00 | |
| 3052F | 0% | 22 | $0.00 | |
| 99386 | 0% | 267 | $0.00 | |
| 3075F | 0% | 1,786 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 19 | $0.00 |
| 94760 | 0% | 28 | $0.00 | |
| 99383 | 0% | 322 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 99 | $0.00 |
| 3080F | 0% | 652 | $0.00 | |
| 3074F | 0% | 21,954 | $0.00 | |
| 58300 | 0% | 50 | $0.00 | |
| 1170F | 0% | 298 | $0.00 | |
| 86580 | 0% | 14 | $0.00 | |
| 90656 | 0% | 282 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 88142 | 0% | 16 | $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.
From NPPES
Who's on the registration
Authorized officialVALERIO, MARGARITA (PROVIDER ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Vna Health Care | Aurora, IL | $42.81M |
| Vna Health Care | Aurora, IL | $22.64M |
| Vna Health Care | Bolingbrook, IL | $13.98M |
| Vna Health Care | Romeoville, IL | $5.39M |
| Vna Health Care | Elgin, IL | $5.10M |
| Vna Health Care | Joliet, IL | $3.97M |
| Vna Health Care | Carol Stream, IL | $2.48M |
| Vna Health Care | Bensenville, IL | $1.67M |
| Vna Health Care | Carol Stream, IL | $1.18M |
| Vna Health Care | Aurora, IL | $1.10M |
| Vna Health Care | Aurora, IL | $808K |
| Vna Health Care | Aurora, IL | $76K |
| Vna Health Care | Aurora, IL | $34K |
| Vna Health Care | Aurora, IL | $23K |
| Vna Health Care | Aurora, IL | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.