Physician
Montes, Faye
Montes, Faye was paid $1.42M by Medicaid between Sep 2019 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoMONTES, FAYE
GURNEE, IL 60031
GURNEE, IL 60031
33aNPI1811085053assigned 10/11/2006
33bProvider typePediatrics Physician
28Total paid$1.42M
24GClaims43,475
24DCodes billed51
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#81 of 1,805
Median peer was paid$55K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2019 | 1,360 | $44K | |
| 2020 | 4,727 | $141K | |
| 2021 | 9,298 | $281K | |
| 2022 | 8,380 | $302K | |
| 2023 | 9,534 | $319K | |
| 2024incomplete | 10,176 | $331K |
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 | 20% | 5,556 | 4,675 | $281K |
| 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 | 17% | 3,037 | 2,538 | $242K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 1,830 | 1,309 | $125K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 1,546 | 1,276 | $117K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.7% | 3,093 | 2,587 | $109K |
| 96127 | 6.9% | 5,954 | 4,607 | $98K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 896 | 785 | $67K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.4% | 3,418 | 2,743 | $62K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 697 | 574 | $57K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.0% | 1,789 | 1,616 | $42K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 1,828 | 1,077 | $36K |
| 96160 | 2.1% | 1,624 | 1,342 | $30K |
39 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 1,757 | $27K |
| 87428 | 1.9% | 421 | $27K | |
| Q3014 | Telehealth originating site facility fee | <1% | 446 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 380 | $10K |
| 99173 | <1% | 982 | $7K | |
| 0071A | <1% | 140 | $6K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 372 | $5K |
| 90686 | <1% | 307 | $5K | |
| 90651 | <1% | 283 | $5K | |
| 83655 | <1% | 398 | $5K | |
| 0072A | <1% | 109 | $5K | |
| 90677 | <1% | 263 | $5K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 89 | $4K |
| 90656 | <1% | 219 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 278 | $3K |
| 36416 | <1% | 793 | $3K | |
| 90670 | <1% | 179 | $3K | |
| 85018 | <1% | 1,219 | $3K | |
| 90633 | <1% | 142 | $2K | |
| 90680 | <1% | 139 | $2K | |
| 90698 | <1% | 123 | $2K | |
| 94760 | <1% | 678 | $2K | |
| 99000 | <1% | 82 | $1K | |
| 90619 | <1% | 75 | $1K | |
| 90744 | <1% | 59 | $985.89 | |
| 91321 | <1% | 32 | $534.72 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 28 | $342.94 |
| 90621 | <1% | 19 | $317.49 | |
| 90697 | <1% | 13 | $217.23 | |
| 90710 | <1% | 13 | $217.23 | |
| 3008F | 0% | 168 | $0.00 | |
| 1220F | 0% | 83 | $0.00 | |
| 1036F | 0% | 112 | $0.00 | |
| 96161 | 0% | 68 | $0.00 | |
| 3351F | 0% | 73 | $0.00 | |
| 1003F | 0% | 466 | $0.00 | |
| 3210F | 0% | 494 | $0.00 | |
| 4274F | 0% | 351 | $0.00 | |
| 99072 | 0% | 354 | $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.