Navarrete, Theresa

Navarrete, Theresa was paid $286K by Medicaid between Feb 2018 and Nov 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 45% of everything it billed.

33Billing provider infoNAVARRETE, THERESA
ELMHURST, IL 60126

33aNPI1881034478assigned 06/27/2013

33bProvider typeEmergency Medicine Physician

28Total paid$286K

24GClaims5,516

24DCodes billed6

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#484 of 1,980

Median peer was paid$150K

This provider vs. median1.9×

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	484	$17K
2019	823	$29K
2020	718	$36K
2021	881	$52K
2022	852	$47K
2023	1,009	$56K
2024incomplete	749	$49K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	45%	1,730	1,590	$129K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	37%	1,701	1,591	$106K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	15%	1,198	1,092	$43K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.3%	860	773	$7K
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	<1%	12	12	$802.67
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%	15	15	$738.30

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.