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

Moya, Adelina

Moya, Adelina was paid $376K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoMOYA, ADELINA
CHICAGO, IL 60639
33aNPI1942231469assigned 07/05/2006
28Total paid$376K
24GClaims14,050
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#284 of 2,947
Median peer was paid$43K
This provider vs. median8.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
2018651$22K
20193,027$60K
20203,293$69K
20213,357$80K
20222,124$77K
2023938$36K
2024incomplete660$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 3,760 3,109 $159K
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 41% 2,514 2,129 $155K
96127 7.0% 1,952 1,660 $26K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.7% 130 110 $10K
90686 2.2% 620 534 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 178 155 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 41 40 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 41 38 $3K
0001A <1% 58 47 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 359 309 $2K
99384 <1% 17 14 $2K
0002A <1% 13 13 $547.82
16 more codes
90620 <1% 25 $513.82
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 41 $507.60
90651 <1% 14 $89.60
90734 <1% 13 $83.20
81002 <1% 34 $80.78
36415 Collection of venous blood by venipuncture <1% 154 $12.45
91300 <1% 44 $0.61
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 415 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 1,519 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 382 $0.00
3017F 0% 265 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 896 $0.00
3014F 0% 71 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 370 $0.00
G8421 Bmi not documented and no reason is given 0% 105 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 19 $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.