Mantanona, Tina

Mantanona, Tina was paid $39K by Medicaid between Jan 2018 and Aug 2019, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoMANTANONA, TINA
GRAYSLAKE, IL 60030

33aNPI1922362623assigned 06/27/2012

33bProvider typeFamily Medicine Physician

28Total paid$39K

24GClaims722

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,541 of 2,947

Median peer was paid$43K

This provider vs. median0.9×

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	335	$17K
2019	387	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	72%	429	380	$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	15%	143	135	$6K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	10%	89	79	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.1%	13	12	$435.50
90686		<1%	18	17	$301.89
36415	Collection of venous blood by venipuncture	<1%	12	12	$49.20
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	18	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.