Macariola-Coad, Justin

Macariola-Coad, Justin was paid $35K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 59% of everything it billed.

33Billing provider infoMACARIOLA-COAD, JUSTIN
ELMHURST, IL 60126

33aNPI1215963798assigned 06/24/2006

33bProvider typeEmergency Medicine Physician

28Total paid$35K

24GClaims829

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,568 of 1,980

Median peer was paid$150K

This provider vs. median0.2×

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	547	$23K
2019	227	$10K
2020	17	$1K
2022	25	$1K
2024incomplete	13	$589.28

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	59%	418	392	$21K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	21%	230	202	$7K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	16%	143	137	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.9%	25	25	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	13	13	$589.28

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.