Physician
Macvicar, Gary
Macvicar, Gary was paid $169K by Medicaid between Jan 2018 and Aug 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoMACVICAR, GARY
PEORIA, IL 61615
PEORIA, IL 61615
33aNPI1487633251assigned 01/11/2006
33bProvider typeHematology (Internal Medicine) Physician
28Total paid$169K
24GClaims6,685
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Hematology (Internal Medicine) Physician providers in Illinois
Rank by total paid#4 of 28
Median peer was paid$23K
This provider vs. median7.3×
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 | 1,043 | $18K | |
| 2019 | 2,229 | $40K | |
| 2020 | 825 | $20K | |
| 2021 | 968 | $26K | |
| 2022 | 510 | $22K | |
| 2023 | 777 | $28K | |
| 2024incomplete | 333 | $16K |
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 | 41% | 2,025 | 1,720 | $69K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 38% | 1,516 | 819 | $64K |
| 96367 | 5.7% | 624 | 324 | $10K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 3.8% | 205 | 142 | $6K |
| 96375 | Therapeutic injection; each additional sequential IV push | 3.7% | 407 | 209 | $6K |
| 80053 | Comprehensive metabolic panel | 3.2% | 552 | 376 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.5% | 708 | 483 | $4K |
| J1756 | Injection, iron sucrose, 1 mg | 1.2% | 48 | 29 | $2K |
| 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% | 86 | 79 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 396 | 205 | $456.71 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 32 | 30 | $411.79 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 37 | 25 | $109.03 |
1 more codes
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 49 | $32.18 |
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.