Vergara, Gima
Vergara, Gima was paid $607K by Medicaid between Jan 2018 and Jul 2020, across 9 billing codes. Its largest line is V5261, Hearing aid, digital, binaural, bte — 45% of everything it billed.
33Billing provider infoVERGARA, GIMA
CHICAGO, IL 60614
CHICAGO, IL 60614
33aNPI1992953210assigned 08/28/2008
33bProvider typeAudiologist
28Total paid$607K
24GClaims5,310
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Audiologist providers in Illinois
Rank by total paid#6 of 187
Median peer was paid$6K
This provider vs. median102×
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 | 2,456 | $306K | |
| 2019 | 2,405 | $299K | |
| 2020 | 449 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V5261 | Hearing aid, digital, binaural, bte | 45% | 400 | 397 | $272K |
| V5160 | Dispensing fee, binaural | 34% | 612 | 608 | $205K |
| V5266 | Battery for use in hearing device | 9.0% | 2,353 | 2,327 | $55K |
| V5014 | Repair/modification of a hearing aid | 3.9% | 155 | 147 | $24K |
| 92591 | 3.9% | 646 | 634 | $23K | |
| V5264 | Ear mold/insert, not disposable, any type | 3.5% | 311 | 310 | $21K |
| 92557 | 1.0% | 498 | 466 | $6K | |
| 92567 | <1% | 322 | 294 | $912.84 | |
| 92593 | <1% | 13 | 13 | $192.27 |
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.