Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Berwyn › NPI 1790797066
Physician

Linares, Oscar

Linares, Oscar was paid $2.39M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoLINARES, OSCAR
BERWYN, IL 60402
33aNPI1790797066assigned 08/13/2006
33bProvider typePediatrics Physician
28Total paid$2.39M
24GClaims66,006
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#34 of 1,805
Median peer was paid$55K
This provider vs. median43×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20185,808$215K
20199,521$350K
20207,794$263K
20219,582$320K
20229,872$386K
202311,447$399K
2024incomplete11,982$461K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 12,669 10,611 $611K
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% 7,270 6,176 $567K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12% 3,334 2,654 $276K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10% 3,180 2,656 $241K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.8% 2,749 2,132 $211K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.5% 1,542 1,218 $107K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.5% 4,736 3,787 $84K
96127 2.0% 3,304 2,590 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.0% 1,881 1,722 $47K
90686 1.1% 2,651 2,386 $25K
96160 <1% 1,552 1,213 $21K
90651 <1% 1,357 1,089 $20K
48 more codes
83655 <1% 1,535 $18K
90670 <1% 1,228 $16K
90734 <1% 913 $11K
36415 Collection of venous blood by venipuncture <1% 3,422 $11K
90674 <1% 508 $8K
85018 <1% 2,838 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 379 $6K
90680 <1% 456 $6K
90633 <1% 548 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 206 $5K
90661 <1% 276 $5K
90620 <1% 269 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 44 $4K
90621 <1% 395 $3K
90715 <1% 253 $3K
36416 <1% 1,067 $3K
0072A <1% 66 $3K
90677 <1% 98 $2K
0001A <1% 73 $2K
0071A <1% 52 $2K
90697 <1% 117 $2K
0002A <1% 29 $1K
90685 <1% 152 $1K
90619 <1% 53 $885.63
86580 <1% 193 $789.88
90696 <1% 58 $729.08
90707 <1% 43 $589.55
99173 <1% 75 $536.40
90723 <1% 43 $474.00
92015 Determination of refractive state <1% 25 $459.78
90716 <1% 31 $441.19
90710 <1% 19 $317.49
90647 <1% 42 $315.49
90698 <1% 24 $246.18
90744 <1% 27 $201.50
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 245 $80.26
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 705 $6.18
91300 <1% 118 $0.82
91307 <1% 97 $0.35
1036F 0% 1,096 $0.00
G0008 Administration of influenza virus vaccine 0% 425 $0.00
S9451 Exercise classes, non-physician provider, per session 0% 809 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 239 $0.00
G0009 Administration of pneumococcal vaccine 0% 46 $0.00
3085F 0% 361 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 32 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 26 $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.