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

Gutierrez, Ismael

Gutierrez, Ismael was paid $120K by Medicaid between Oct 2019 and Jan 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoGUTIERREZ, ISMAEL
TINLEY PARK, IL 60487
33aNPI1952759854assigned 06/01/2016
28Total paid$120K
24GClaims3,479
24DCodes billed17
24AFirst – last monthOct 2019 – Jan 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#854 of 2,947
Median peer was paid$43K
This provider vs. median2.8×

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$10K2018201920202021202220232024
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
2019116$5K
2020423$17K
2021919$22K
2022874$32K
20231,099$42K
2024incomplete48$2K
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 48% 1,315 1,116 $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 29% 539 498 $34K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 6.7% 116 112 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.8% 376 361 $6K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.3% 115 112 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3.7% 89 88 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 63 60 $1K
71046 Radiologic examination, chest; 2 views 1.1% 122 122 $1K
90686 <1% 86 65 $996.32
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 14 14 $179.16
36415 Collection of venous blood by venipuncture <1% 163 163 $28.45
1160F 0% 121 98 $0.00
5 more codes
3078F 0% 15 $0.00
1159F 0% 71 $0.00
1036F 0% 118 $0.00
3008F 0% 121 $0.00
3074F 0% 35 $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.