Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VNA HEALTH CARE

NPI: 1811249972 · BOLINGBROOK, IL 60440 · Federally Qualified Health Center (FQHC) · NPI assigned 10/12/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official VALERIO, MARGARITA controls 15+ related entities in our dataset. Read more

$13.98M
Total Medicaid Paid
303,167
Total Claims
240,978
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVALERIO, MARGARITA (PROVIDER ENROLLMENT)
NPI Enumeration Date10/12/2012

Related Entities

Other providers sharing the same authorized official: VALERIO, MARGARITA

ProviderCityStateTotal Paid
VNA HEALTH CARE AURORA IL $42.81M
VNA HEALTH CARE AURORA IL $22.64M
VNA HEALTH CARE ELGIN IL $18.51M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,777 $1.51M
2019 48,355 $1.99M
2020 27,433 $1.64M
2021 24,782 $1.65M
2022 33,829 $1.96M
2023 79,614 $2.72M
2024 64,377 $2.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 95,127 69,327 $13.95M
90670 3,240 2,746 $6K
90734 761 652 $5K
90716 2,025 1,721 $5K
90707 1,921 1,644 $3K
90651 644 569 $3K
0503F 1,835 1,470 $2K
90633 1,951 1,662 $1K
90688 315 263 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,467 22,701 $1K
90715 491 444 $645.95
90647 2,985 2,568 $641.96
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,811 10,201 $614.20
90723 3,044 2,649 $499.95
90700 591 494 $392.00
90696 300 254 $369.17
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 978 887 $213.80
0500F 2,689 2,435 $144.96
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,400 2,130 $128.15
90792 Psychiatric diagnostic evaluation with medical services 495 487 $124.44
0502F 16,472 9,430 $104.96
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,762 1,518 $99.20
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 742 620 $78.50
90686 1,706 1,513 $38.06
90681 1,686 1,467 $33.42
90671 501 478 $33.42
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,439 1,299 $32.15
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,913 1,714 $32.15
81003 601 575 $13.08
85018 6,871 6,032 $4.64
81002 4,537 3,382 $2.60
83036 Hemoglobin; glycosylated (A1C) 1,356 1,184 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,095 855 $0.00
90656 222 213 $0.00
3079F 3,711 3,402 $0.00
99385 649 593 $0.00
99383 466 421 $0.00
1126F 7,104 6,416 $0.00
3074F 16,853 14,209 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,808 1,568 $0.00
99381 727 658 $0.00
3075F 1,621 1,521 $0.00
3080F 863 788 $0.00
1125F 1,538 1,431 $0.00
99384 232 206 $0.00
1170F 256 251 $0.00
90619 309 307 $0.00
90834 Psychotherapy, 45 minutes with patient 45 26 $0.00
3044F 69 67 $0.00
99386 17 14 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,487 2,196 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,994 3,431 $0.00
82948 635 571 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,414 4,413 $0.00
90832 Psychotherapy, 30 minutes with patient 1,763 1,002 $0.00
3051F 12 12 $0.00
1159F 16,122 13,491 $0.00
90685 246 217 $0.00
1160F 16,262 13,620 $0.00
3078F 14,945 12,693 $0.00
3077F 1,161 1,041 $0.00
90837 Psychotherapy, 53 minutes with patient 114 96 $0.00
81025 682 651 $0.00
99382 29 29 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 29 29 $0.00
3046F 31 24 $0.00