Physician
Macyko, Catherine
Macyko, Catherine was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 20% of everything it billed.
33Billing provider infoMACYKO, CATHERINE
ORLAND PARK, IL 60467
ORLAND PARK, IL 60467
33aNPI1992886295assigned 10/17/2006
33bProvider typePediatrics Physician
28Total paid$1.02M
24GClaims28,562
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#136 of 1,805
Median peer was paid$55K
This provider vs. median18×
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 | 2,119 | $81K | |
| 2019 | 3,449 | $121K | |
| 2020 | 4,307 | $134K | |
| 2021 | 4,743 | $145K | |
| 2022 | 5,048 | $187K | |
| 2023 | 5,128 | $197K | |
| 2024incomplete | 3,768 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 2,728 | 2,254 | $208K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 2,408 | 1,942 | $165K |
| 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% | 3,109 | 2,791 | $148K |
| 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 | 9.1% | 1,362 | 1,183 | $93K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 1,078 | 986 | $81K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.9% | 2,750 | 2,359 | $60K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 535 | 464 | $43K |
| 96127 | 3.6% | 2,104 | 1,831 | $37K | |
| 90670 | 2.8% | 1,791 | 1,499 | $28K | |
| 90686 | 2.0% | 1,902 | 1,674 | $20K | |
| 90677 | 1.9% | 270 | 237 | $19K | |
| 90647 | 1.4% | 1,281 | 1,075 | $15K |
31 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 920 | $14K |
| 90723 | 1.2% | 1,118 | $12K | |
| D1206 | Topical application of fluoride varnish | 1.0% | 401 | $10K |
| 90633 | <1% | 795 | $10K | |
| 90680 | <1% | 795 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 225 | $7K |
| 90651 | <1% | 190 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 121 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 332 | $4K |
| 83655 | <1% | 334 | $4K | |
| 90698 | <1% | 340 | $4K | |
| 90656 | <1% | 194 | $3K | |
| 90734 | <1% | 170 | $3K | |
| 92551 | <1% | 118 | $2K | |
| 96160 | <1% | 99 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 85018 | <1% | 378 | $882.98 | |
| 90715 | <1% | 55 | $818.21 | |
| 90716 | <1% | 64 | $770.45 | |
| 99173 | <1% | 99 | $737.55 | |
| 90710 | <1% | 46 | $680.58 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $666.90 |
| 90700 | <1% | 36 | $585.69 | |
| 87807 | <1% | 61 | $584.48 | |
| 90707 | <1% | 48 | $503.09 | |
| 90681 | <1% | 76 | $486.40 | |
| 90696 | <1% | 27 | $328.29 | |
| 90744 | <1% | 44 | $307.74 | |
| 36416 | <1% | 63 | $188.60 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 41 | $0.00 |
| 90461 | 0% | 15 | $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.