Physician
Margolin, Richard
Margolin, Richard was paid $1.01M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoMARGOLIN, RICHARD
LINCOLNSHIRE, IL 60069
LINCOLNSHIRE, IL 60069
33aNPI1528162062assigned 09/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.01M
24GClaims19,109
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#98 of 2,947
Median peer was paid$43K
This provider vs. median24×
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 | 3,311 | $152K | |
| 2019 | 4,657 | $246K | |
| 2020 | 3,032 | $168K | |
| 2021 | 2,759 | $98K | |
| 2022 | 1,510 | $88K | |
| 2023 | 1,834 | $113K | |
| 2024incomplete | 2,006 | $143K |
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 | 61% | 8,854 | 7,041 | $613K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 4,015 | 3,431 | $178K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 731 | 201 | $35K |
| 99223 | Prolong inpt eval add15 m | 3.4% | 356 | 315 | $34K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 1,243 | 370 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 421 | 307 | $20K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9% | 395 | 369 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 211 | 169 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 134 | 133 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 119 | 113 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 96 | 66 | $7K |
| 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% | 144 | 127 | $6K |
29 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 187 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 74 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 70 | $6K |
| 90688 | <1% | 266 | $3K | |
| 90686 | <1% | 150 | $3K | |
| 90734 | <1% | 48 | $2K | |
| 90651 | <1% | 28 | $1K | |
| 99220 | <1% | 13 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 0001A | <1% | 38 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 65 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 54 | $878.05 |
| 0002A | <1% | 21 | $840.00 | |
| 99460 | <1% | 14 | $815.88 | |
| 90670 | <1% | 89 | $803.68 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 29 | $738.28 |
| 80305 | <1% | 71 | $630.85 | |
| 90715 | <1% | 36 | $554.49 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $537.60 |
| 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% | 19 | $204.07 |
| 90680 | <1% | 14 | $146.84 | |
| 81003 | <1% | 17 | $37.61 | |
| 1160F | <1% | 270 | $1.46 | |
| 3074F | <1% | 152 | $0.88 | |
| 3078F | <1% | 155 | $0.88 | |
| 3079F | <1% | 25 | $0.14 | |
| 3075F | <1% | 20 | $0.13 | |
| 3008F | 0% | 213 | $0.00 | |
| 1036F | 0% | 222 | $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.