Mcguire, Whitney

Mcguire, Whitney was paid $35K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 93% of everything it billed.

33Billing provider infoMCGUIRE, WHITNEY
CARBONDALE, IL 62901

33aNPI1003334459assigned 09/06/2017

33bProvider typeNurse Practitioner

28Total paid$35K

24GClaims1,386

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nurse Practitioner providers in Illinois

Rank by total paid#686 of 1,687

Median peer was paid$22K

This provider vs. median1.6×

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	219	$483.37
2019	576	$397.80
2021	16	$659.87
2022	190	$11K
2023	188	$10K
2024incomplete	197	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	93%	565	547	$33K
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	2.5%	12	12	$858.99
99309	Subsequent nursing facility care, per day, low to moderate complexity	2.1%	630	330	$748.80
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.8%	52	42	$639.86
99308	Subsequent nursing facility care, per day, straightforward	<1%	127	71	$132.37

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.