Mcguire, Michael

Mcguire, Michael was paid $154K by Medicaid between Mar 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoMCGUIRE, MICHAEL
LAKE FOREST, IL 60045

33aNPI1821018185assigned 07/20/2006

33bProvider typeUrology Physician

28Total paid$154K

24GClaims5,547

24DCodes billed8

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Urology Physician providers in Illinois

Rank by total paid#12 of 219

Median peer was paid$5K

This provider vs. median29×

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	193	$4K
2019	1,164	$23K
2020	1,000	$22K
2021	1,020	$27K
2022	961	$29K
2023	657	$24K
2024incomplete	552	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	1,419	1,326	$55K
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	23%	509	482	$35K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	466	391	$19K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	9.9%	669	550	$15K
51798		9.8%	1,041	906	$15K
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	7.9%	183	167	$12K
81003		1.1%	821	716	$2K
81002		<1%	439	355	$1K

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.