Mcguinn, Marcella

Mcguinn, Marcella was paid $227K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 64% of everything it billed.

33Billing provider infoMCGUINN, MARCELLA
OAK PARK, IL 60304

33aNPI1528083987assigned 07/13/2006

33bProvider typeInfectious Disease Physician

28Total paid$227K

24GClaims6,008

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Infectious Disease Physician providers in Illinois

Rank by total paid#38 of 201

Median peer was paid$55K

This provider vs. median4.1×

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	168	$2K
2019	848	$13K
2020	1,371	$42K
2021	1,067	$45K
2022	970	$43K
2023	1,021	$51K
2024incomplete	563	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	64%	3,809	1,648	$146K
99255		23%	617	589	$51K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	1,525	829	$29K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	44	33	$695.61
99223	Prolong inpt eval add15 m	<1%	13	12	$471.75

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.