Macmillan, Carol

Macmillan, Carol was paid $120K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoMACMILLAN, CAROL
CHICAGO, IL 60637

33aNPI1306949615assigned 09/06/2006

33bProvider typeNeurology Physician

28Total paid$120K

24GClaims1,693

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neurology Physician providers in Illinois

Rank by total paid#60 of 371

Median peer was paid$18K

This provider vs. median6.6×

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	136	$8K
2019	193	$12K
2020	316	$21K
2021	340	$23K
2022	283	$21K
2023	219	$16K
2024incomplete	206	$18K

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	68%	1,126	1,015	$81K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	30%	517	470	$35K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.0%	21	15	$1K
99254		<1%	14	14	$929.60
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%	15	14	$698.40

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.