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

Herrera, Federico

Herrera, Federico was paid $1.29M by Medicaid between Jan 2021 and Dec 2024, across 38 billing codes. Its largest line is 0012A, — 16% of everything it billed.

33Billing provider infoHERRERA, FEDERICO
CHICAGO, IL 60623
33aNPI1881926913assigned 01/29/2010
33bProvider typePediatrics Physician
28Total paid$1.29M
24GClaims31,878
24DCodes billed38
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#102 of 1,805
Median peer was paid$55K
This provider vs. median23×

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$100K$200K2018201920202021202220232024
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
202121,733$861K
20227,488$310K
2023544$21K
2024incomplete2,113$92K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0012A 16% 5,161 5,041 $212K
0002A 15% 4,718 4,638 $197K
0001A 13% 4,028 3,883 $169K
0011A 11% 4,399 4,197 $144K
0072A 10% 3,163 3,120 $132K
0071A 9.8% 3,024 2,996 $126K
0064A 4.9% 1,532 1,482 $63K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.0% 1,010 849 $52K
0004A 2.5% 785 758 $33K
0013A 2.1% 652 649 $27K
0003A 1.7% 535 513 $22K
0124A 1.2% 387 385 $16K
26 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.0% 217 $13K
99214 Doctor's office visit, returning patient (more involved) <1% 142 $11K
0054A <1% 259 $11K
0073A <1% 243 $10K
87428 <1% 117 $7K
0082A <1% 156 $7K
0031A <1% 135 $5K
0074A <1% 115 $5K
0081A <1% 107 $4K
0052A <1% 70 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 41 $3K
90677 <1% 104 $2K
0051A <1% 45 $2K
90697 <1% 96 $2K
0154A <1% 31 $1K
99383 <1% 14 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 14 $1K
83655 <1% 90 $1K
0173A <1% 21 $915.60
0053A <1% 14 $585.20
85018 <1% 235 $544.34
90656 <1% 30 $501.30
90681 <1% 29 $487.11
90651 <1% 12 $200.52
87807 <1% 16 $144.76
90686 0% 131 $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.