Physician
Herena, Juan
Herena, Juan was paid $78K by Medicaid between Jan 2018 and May 2024, across 2 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 75% of everything it billed.
33Billing provider infoHERENA, JUAN
SCHAUMBURG, IL 60193
SCHAUMBURG, IL 60193
33aNPI1922167162assigned 12/06/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$78K
24GClaims2,282
24DCodes billed2
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Illinois
Rank by total paid#65 of 189
Median peer was paid$43K
This provider vs. median1.8×
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 | 283 | $5K | |
| 2019 | 253 | $7K | |
| 2020 | 504 | $18K | |
| 2021 | 394 | $17K | |
| 2022 | 236 | $8K | |
| 2023 | 396 | $14K | |
| 2024incomplete | 216 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 75% | 1,778 | 529 | $58K |
| 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 | 25% | 504 | 464 | $19K |
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.