Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Joliet › NPI 1962513523
Physician

Abella, Clarence

Abella, Clarence was paid $108K by Medicaid between Apr 2019 and Aug 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoABELLA, CLARENCE
JOLIET, IL 60433
33aNPI1962513523assigned 08/31/2006
28Total paid$108K
24GClaims3,876
24DCodes billed16
24AFirst – last monthApr 2019 – Aug 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#915 of 2,947
Median peer was paid$43K
This provider vs. median2.5×

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
2019219$12K
2020141$7K
20231,669$37K
2024incomplete1,847$52K
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 47% 1,036 894 $50K
87428 15% 265 223 $16K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14% 306 274 $15K
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 8.4% 128 112 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.6% 257 214 $4K
94760 3.3% 904 770 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1.9% 77 65 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.8% 48 41 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.8% 48 41 $2K
81002 <1% 417 374 $1K
87070 <1% 165 152 $990.28
87088 <1% 80 75 $855.23
4 more codes
87086 Culture, bacterial; quantitative colony count, urine <1% 80 $794.04
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 15 $512.29
83026 <1% 38 $88.53
99349 0% 12 $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.