Physician
Muscia, Megan
Muscia, Megan was paid $469K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 35% of everything it billed.
33Billing provider infoMUSCIA, MEGAN
AURORA, IL 60504
AURORA, IL 60504
33aNPI1366729378assigned 11/04/2011
33bProvider typePediatrics Physician
28Total paid$469K
24GClaims11,712
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#312 of 1,805
Median peer was paid$55K
This provider vs. median8.5×
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 | 573 | $27K | |
| 2019 | 1,001 | $42K | |
| 2020 | 1,480 | $54K | |
| 2021 | 1,871 | $60K | |
| 2022 | 2,252 | $86K | |
| 2023 | 1,918 | $83K | |
| 2024incomplete | 2,617 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 35% | 2,369 | 1,971 | $162K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 33% | 2,024 | 1,643 | $155K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 844 | 784 | $42K |
| 90698 | 4.1% | 1,471 | 1,231 | $19K | |
| 90677 | 3.5% | 289 | 246 | $16K | |
| 90670 | 3.5% | 1,055 | 928 | $16K | |
| 90686 | 2.3% | 945 | 829 | $11K | |
| D1206 | Topical application of fluoride varnish | 2.1% | 378 | 219 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 592 | 492 | $10K |
| 90680 | 1.7% | 672 | 600 | $8K | |
| 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 | 1.1% | 59 | 41 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 47 | 41 | $4K |
15 more codes
| 90633 | <1% | 277 | $3K | |
| 90744 | <1% | 267 | $3K | |
| 90656 | <1% | 59 | $985.89 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | $914.54 |
| 90661 | <1% | 49 | $829.38 | |
| 99460 | <1% | 12 | $753.12 | |
| 83655 | <1% | 62 | $735.32 | |
| 90685 | <1% | 19 | $208.23 | |
| 90707 | <1% | 12 | $150.72 | |
| 90716 | <1% | 12 | $150.72 | |
| 85018 | <1% | 47 | $109.04 | |
| 36416 | <1% | 21 | $86.10 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 23 | $0.00 |
| 90461 | 0% | 18 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 12 | $0.00 |
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.