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

Pagani, Marco

Pagani, Marco was paid $177K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 39% of everything it billed.

33Billing provider infoPAGANI, MARCO
BARRINGTON, IL 60010
33aNPI1679728331assigned 11/22/2008
33bProvider typeNephrology Physician
28Total paid$177K
24GClaims4,946
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Nephrology Physician providers in Illinois

Rank by total paid#69 of 327
Median peer was paid$68K
This provider vs. median2.6×

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$5.0K$10K2018201920202021202220232024
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
2018346$14K
2019719$26K
2020995$31K
2021769$27K
20221,582$62K
2023471$15K
2024incomplete64$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 39% 1,164 1,139 $69K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 38% 2,629 820 $66K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.1% 726 646 $14K
99222 Initial hospital care, per day, moderate complexity 6.2% 229 213 $11K
90961 5.4% 113 113 $10K
90966 3.9% 85 84 $7K

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.