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

Balsa Guerrero, Maria

Balsa Guerrero, Maria was paid $49K by Medicaid between Aug 2022 and Dec 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 75% of everything it billed.

33Billing provider infoBALSA GUERRERO, MARIA
CHICAGO, IL 60657
33aNPI1982066957assigned 03/28/2016
28Total paid$49K
24GClaims718
24DCodes billed5
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers

Next to other Developmental - Behavioral Pediatrics Physician providers in Illinois

Rank by total paid#11 of 15
Median peer was paid$74K
This provider vs. median0.7×

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
2022124$6K
2023348$22K
2024incomplete246$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 75% 504 464 $37K
99205 Prolong outpt/office vis 14% 71 66 $7K
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 4.5% 26 25 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.1% 100 99 $2K
96112 2.7% 17 16 $1K

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.