Physician
Palu-Ay, Pedro
Palu-Ay, Pedro was paid $342K by Medicaid between Jan 2018 and Apr 2021, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.
33Billing provider infoPALU-AY, PEDRO
ZION, IL 60099
ZION, IL 60099
33aNPI1942287230assigned 12/28/2005
33bProvider typeFamily Medicine Physician
28Total paid$342K
24GClaims9,145
24DCodes billed21
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#318 of 2,947
Median peer was paid$43K
This provider vs. median8.0×
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 | 2,357 | $96K | |
| 2019 | 2,768 | $105K | |
| 2020 | 3,155 | $118K | |
| 2021 | 865 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 90% | 7,218 | 5,727 | $307K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 101 | 99 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 86 | 84 | $7K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 1.3% | 350 | 257 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 262 | 249 | $4K |
| 0001A | <1% | 91 | 61 | $3K | |
| 99173 | <1% | 276 | 257 | $2K | |
| 0002A | <1% | 51 | 39 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 83 | 77 | $1K |
| 90734 | <1% | 56 | 53 | $1K | |
| 90688 | <1% | 75 | 61 | $955.89 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 18 | 14 | $581.70 |
9 more codes
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.