NP / PA
Marguglio, Sharon
Marguglio, Sharon was paid $86K by Medicaid between Jan 2018 and Jun 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMARGUGLIO, SHARON
GALESBURG, IL 61401
GALESBURG, IL 61401
33aNPI1033360284assigned 10/07/2008
33bProvider typeFamily Nurse Practitioner
28Total paid$86K
24GClaims3,199
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Illinois
Rank by total paid#836 of 3,353
Median peer was paid$25K
This provider vs. median3.5×
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
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 | 1,465 | $37K | |
| 2019 | 1,558 | $41K | |
| 2020 | 32 | $2K | |
| 2021 | 63 | $2K | |
| 2022 | 55 | $3K | |
| 2023 | 26 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 1,080 | 1,025 | $36K |
| 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 | 37% | 644 | 612 | $32K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.6% | 491 | 300 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.1% | 523 | 504 | $7K |
| 87081 | 3.0% | 395 | 378 | $3K | |
| 81001 | <1% | 53 | 50 | $176.54 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | 13 | $29.84 |
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.