Physician
Cabrera, Ernest
Cabrera, Ernest was paid $262K by Medicaid between Jun 2018 and Nov 2024, across 12 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 47% of everything it billed.
33Billing provider infoCABRERA, ERNEST
CHICAGO, IL 60622
CHICAGO, IL 60622
33aNPI1851340855assigned 05/08/2006
33bProvider typeNephrology Physician
28Total paid$262K
24GClaims8,964
24DCodes billed12
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Illinois
Rank by total paid#39 of 327
Median peer was paid$68K
This provider vs. median3.8×
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 | 1,732 | $4K | |
| 2019 | 1,498 | $34K | |
| 2020 | 1,445 | $33K | |
| 2021 | 1,365 | $37K | |
| 2022 | 802 | $41K | |
| 2023 | 1,087 | $55K | |
| 2024incomplete | 1,035 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 47% | 1,644 | 1,601 | $123K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 23% | 3,447 | 1,090 | $61K |
| 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 | 11% | 827 | 796 | $30K |
| 99223 | Prolong inpt eval add15 m | 7.5% | 486 | 408 | $20K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.8% | 560 | 363 | $13K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.9% | 240 | 94 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.8% | 125 | 117 | $5K |
| 90961 | 1.6% | 67 | 67 | $4K | |
| 90970 | <1% | 1,515 | 150 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $226.01 |
| 90937 | <1% | 28 | 12 | $61.70 | |
| 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% | 12 | 12 | $52.80 |
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.