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NPI 1821018185 · Lake Forest, IL · Urology Physician
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Michael Mcguire is a urology physician provider located in Lake Forest, Illinois. This profile covers 25 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Michael Mcguire |
| Address | 800 N Westmoreland Rd Ste 100 |
| City | Lake Forest |
| State | IL |
| ZIP | 60045 |
| Taxonomy | Urology Physician |
| NPI Enumerated | July 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $337.2K |
| Medicaid | $153.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,280 | $70 | $88.2K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 310 | $190 | $57.7K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 310 | $120 | $37.6K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 320 | $100 | $31.6K |
| 52648 | Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with… | 40 | $580 | $21.3K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 140 | $130 | $18K |
| 64566 | In this procedure, the provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin. | 140 | $100 | $13.6K |
| 51705 | In this procedure, the provider performs a simple removal of a tube that he previously places into a patient’s bladder and replaces it with a new tube through the same incision. | 130 | $80 | $10.3K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 30 | $350 | $9.9K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 180 | $40 | $7.3K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J9217 | 79 | 160 | 140 | $130 | $21.1K |
| 52648 | 7 | 30 | 20 | $840 | $21K |
| 99214 | 3,619 | 18,540 | 110 | $80 | $17.1K |
| 52000 | 7 | 310 | 80 | $160 | $15.8K |
| 99232 | 7,762 | 7,960 | 90 | $60 | $12.4K |
| 52356 | 22 | 140 | 20 | $500 | $10.9K |
| 64566 | 4 | 20 | 100 | $80 | $9K |
| 99213 | 106 | 17,390 | 70 | $60 | $8.8K |
| 55700 | 76 | 180 | 20 | $200 | $6.5K |
| 99204 | 25 | 8,580 | 30 | $110 | $5.6K |
Showing 1–10 of 25
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,420 | $40 | $55.3K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 510 | $70 | $35.1K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 470 | $40 | $18.6K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 670 | $20 | $15.4K |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 1,040 | $10 | $14.6K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 180 | $70 | $12.1K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 820 | $1 | $1.6K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 440 | $1 | $1.3K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 5,732 | 14,680 | 300 | $50 | $48.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,858 | 14,190 | 280 | $20 | $38.9K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 730 | 2,800 | 60 | $80 | $17.7K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 476 | 3,270 | 80 | $40 | $11.1K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 547 | 3,330 | 90 | $10 | $7.4K |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 10 | 130 | 70 | $10 | $3.7K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 241 | 970 | 150 | $1 | $2K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 352 | 1,240 | 150 | $1 | $940 |
Other providers in the same ZIP code as Michael Mcguire, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| John Lee | IL | Anatomic Pathology & Clinical Pathology Physician | $104.2K | $1.5M |
| Jennifer Capezio | IL | Rheumatology Physician | $1.3M | $6.2K |
| Thomas Mientus | IL | Anatomic Pathology & Clinical Pathology Physician | $1.1M | $133K |
| Patrick Onkka | IL | Rheumatology Physician | $1.1M | $23.7K |
| Kathryn Kiehn | IL | Rheumatology Physician | $791.2K | $4.6K |
| Julia Sun | IL | Rheumatology Physician | $548.6K | $17K |
| Charulatha Nagar | IL | Neurology Physician | $518.7K | $6K |
| Mark Berk | IL | Dermatology Physician | $391.7K | $110K |
| Mugurel Bazavan | IL | Advanced Heart Failure and Transplant Cardiology Physician | $273.4K | $149.6K |
| Michael Keller | IL | Pulmonary Disease Physician | $264.5K | $95.8K |
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