Morales, Sergio

Morales, Sergio was paid $368K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 39% of everything it billed.

33Billing provider infoMORALES, SERGIO
PEORIA, IL 61637

33aNPI1902096142assigned 07/25/2007

33bProvider typeEmergency Medicine Physician

28Total paid$368K

24GClaims8,202

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#306 of 1,980

Median peer was paid$150K

This provider vs. median2.4×

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	2,518	$72K
2019	908	$30K
2020	783	$31K
2021	764	$46K
2022	912	$45K
2023	1,055	$65K
2024incomplete	1,262	$78K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	39%	2,534	2,353	$143K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	36%	3,892	3,592	$132K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	20%	873	827	$72K
99282	Emergency department visit for the evaluation and management, low to moderate severity	5.7%	903	836	$21K

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.