Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Valdez, Yesenia

Valdez, Yesenia was paid $97K by Medicaid between Oct 2019 and Oct 2024, across 7 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 63% of everything it billed.

33Billing provider infoVALDEZ, YESENIA
OAK PARK, IL 60304
33aNPI1871936146assigned 04/16/2013
28Total paid$97K
24GClaims1,820
24DCodes billed7
24AFirst – last monthOct 2019 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#982 of 2,947
Median peer was paid$43K
This provider vs. median2.3×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201970$2K
2020193$7K
2021381$15K
2022461$27K
2023407$23K
2024incomplete308$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 63% 999 873 $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 29% 488 421 $28K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.8% 145 136 $5K
90686 2.4% 116 94 $2K
0124A <1% 13 12 $553.48
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 45 41 $0.00
36415 Collection of venous blood by venipuncture 0% 14 14 $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.