MICHAEL MAGUIRE, M.D.
Critical Care Medicine (Internal Medicine) Physician · APPLETON, WI
Individual Active NPI 1124186721
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 568 | 1,007 | $370,618 | $78,562 | $55,599 |
| 2023 | 604 | 998 | $368,294 | $80,511 | $57,756 |
| 2022 | 642 | 1,100 | $437,286 | $94,721 | $68,569 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 215 | $85 | $58 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 192 | $22 | $15 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 170 | $87 | $58 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 77 | $120 | $83 |
| 95810 | Sleep study in sleep lab (6 years or older) | 67 | $110 | $82 |
| 94010 | Test to measure expiratory airflow and volume | 34 | $25 | $18 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 32 | $114 | $85 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 25 | $169 | $130 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $156 | $118 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 23 | $128 | $92 |
| 95012 | Test to measure the level of nitric oxide gas | 18 | $16 | $12 |
| 94729 | Test to examine how well the lungs exchange gases | 15 | $51 | $34 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ✓ | 36569-020 | WI |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 36569 | WI | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 36569 | WI | |
| Pulmonary Disease Physician | 207RP1001X | 36569-020 | WI | |
| Pulmonary Disease Physician | 207RP1001X | 36569 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.