Maguire, Raymond

Maguire, Raymond was paid $428K by Medicaid between Dec 2020 and Dec 2024, across 8 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 58% of everything it billed.

33Billing provider infoMAGUIRE, RAYMOND
PITTSBURGH, PA 15213

33aNPI1942440003assigned 03/03/2009

33bProvider typePediatric Otolaryngology Physician

28Total paid$428K

24GClaims2,956

24DCodes billed8

24AFirst – last monthDec 2020 – Dec 2024

Compared with peers

Next to other Pediatric Otolaryngology Physician providers in Pennsylvania

Rank by total paid#1 of 6

Median peer was paid$9K

This provider vs. median46×

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
2020	33	$6K
2021	622	$63K
2022	541	$90K
2023	716	$115K
2024incomplete	1,044	$154K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99244	Office or other outpatient consultation, moderate to high complexity	58%	1,053	1,049	$249K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	997	988	$66K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	9.6%	271	230	$41K
99243		8.2%	244	243	$35K
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	5.8%	264	263	$25K
42820	Tonsillectomy and adenoidectomy; younger than age 12	2.0%	26	26	$9K
69210		<1%	72	72	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	29	29	$943.75

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.