Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Zwirn, Marilyn

Zwirn, Marilyn was paid $800K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoZWIRN, MARILYN
LIBERTYVILLE, IL 60048
33aNPI1619079134assigned 09/04/2006
33bProvider typePediatrics Physician
28Total paid$800K
24GClaims16,660
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#182 of 1,805
Median peer was paid$55K
This provider vs. median14×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018660$33K
20191,297$67K
20201,715$71K
20212,051$91K
20222,983$146K
20233,545$169K
2024incomplete4,409$223K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 28% 2,860 2,625 $222K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 3,250 2,890 $158K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 1,391 1,194 $105K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 1,332 1,113 $90K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.5% 807 748 $60K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.0% 485 434 $40K
96127 2.3% 1,012 868 $19K
90677 2.1% 302 263 $17K
87428 1.5% 193 160 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.4% 565 510 $11K
90686 1.2% 837 767 $10K
90670 <1% 470 400 $8K
18 more codes
90723 <1% 436 $6K
90647 <1% 443 $6K
90651 <1% 171 $5K
90680 <1% 317 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 189 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 153 $4K
90734 <1% 192 $3K
90633 <1% 203 $3K
90656 <1% 152 $3K
83655 <1% 174 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 126 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 133 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 41 $1K
87807 <1% 89 $891.64
85018 <1% 252 $577.68
90715 <1% 43 $441.51
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 29 $166.46
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 13 $115.18

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.