Caceres, Antonio

Caceres, Antonio was paid $25K by Medicaid between Aug 2023 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.

33Billing provider infoCACERES, ANTONIO
SOUTH ELGIN, IL 60177

33aNPI1780692525assigned 08/04/2006

33bProvider typePediatrics Physician

28Total paid$25K

24GClaims331

24DCodes billed5

24AFirst – last monthAug 2023 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#1,116 of 1,805

Median peer was paid$55K

This provider vs. median0.4×

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
2023	106	$6K
2024incomplete	225	$18K

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	85%	250	223	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.5%	42	41	$2K
99383		5.1%	13	13	$1K
90656		<1%	14	14	$235.94
90686		<1%	12	12	$205.02

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.