Nika, Ailda

Nika, Ailda was paid $147K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoNIKA, AILDA
CHICAGO, IL 60612

33aNPI1831316983assigned 04/19/2007

33bProvider typeRheumatology Physician

28Total paid$147K

24GClaims3,569

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Rheumatology Physician providers in Illinois

Rank by total paid#13 of 140

Median peer was paid$20K

This provider vs. median7.4×

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
2018	305	$11K
2019	770	$28K
2020	515	$20K
2021	331	$17K
2022	568	$25K
2023	488	$18K
2024incomplete	592	$27K

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	54%	1,784	1,629	$80K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	42%	1,211	1,102	$62K
20610		3.1%	307	238	$5K
80053	Comprehensive metabolic panel	<1%	45	39	$489.52
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	50	39	$380.38
86140		<1%	20	16	$106.29
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	105	94	$81.05
36415	Collection of venous blood by venipuncture	<1%	47	37	$8.20

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.