Dela Pena, Michelle

Dela Pena, Michelle was paid $89K by Medicaid between Sep 2020 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoDELA PENA, MICHELLE
NAPERVILLE, IL 60563

33aNPI1811518178assigned 04/28/2020

33bProvider typeFamily Nurse Practitioner

28Total paid$89K

24GClaims2,066

24DCodes billed4

24AFirst – last monthSep 2020 – Oct 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#815 of 3,353

Median peer was paid$25K

This provider vs. median3.6×

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
2020	224	$9K
2021	982	$46K
2022	845	$33K
2024incomplete	15	$2K

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	36%	862	763	$32K
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	35%	523	465	$31K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	20%	274	242	$17K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	9.4%	407	401	$8K

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.