Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Oak Lawn › NPI 1962493064
Physician

Silva, Rogelio

Silva, Rogelio was paid $83K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 35% of everything it billed.

33Billing provider infoSILVA, ROGELIO
OAK LAWN, IL 60453
33aNPI1962493064assigned 10/31/2005
28Total paid$83K
24GClaims2,819
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#77 of 370
Median peer was paid$16K
This provider vs. median5.2×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018305$6K
2019517$8K
2020647$15K
2021336$11K
2022420$17K
2023486$19K
2024incomplete108$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99222 Initial hospital care, per day, moderate complexity 35% 850 792 $29K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 29% 843 608 $24K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 16% 98 91 $13K
99231 Subsequent hospital care, per day, straightforward or low complexity 11% 832 477 $9K
99221 6.9% 155 148 $6K
99254 1.0% 14 13 $863.20
99253 <1% 13 13 $608.49
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% 14 14 $606.73

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.