Margules, Kenneth

Margules, Kenneth was paid $33K by Medicaid between Jan 2018 and Feb 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoMARGULES, KENNETH
LIBERTYVILLE, IL 60048

33aNPI1063403145assigned 10/28/2005

33bProvider typeRheumatology Physician

28Total paid$33K

24GClaims2,283

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Rheumatology Physician providers in Illinois

Rank by total paid#58 of 140

Median peer was paid$20K

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	1,201	$13K
2019	454	$9K
2020	243	$4K
2021	166	$2K
2022	141	$3K
2023	63	$929.20
2024incomplete	15	$209.45

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	53%	854	660	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	888	726	$14K
96401		2.4%	246	158	$765.37
20610		<1%	66	53	$250.68
J9260	Injection, methotrexate sodium, 50 mg	<1%	229	145	$155.38

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.