BENJAMIN MARGOLIS, MD
Pulmonary Disease Physician · BANNOCKBURN, IL
Individual Active NPI 1174600514
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 992 | 1,866 | $426,479 | $186,597 | $142,752 |
| 2023 | 1,078 | 2,244 | $536,472 | $222,048 | $171,431 |
| 2022 | 1,025 | 2,133 | $485,040 | $215,820 | $165,751 |
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 | 441 | $80 | $57 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 298 | $110 | $80 |
| 99291 | Critical care, first 30-74 minutes | 188 | $225 | $180 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 164 | $83 | $66 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 159 | $124 | $99 |
| 94726 | Test to determine lung volumes using sensors | 78 | $12 | $10 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 77 | $44 | $33 |
| 94729 | Test to examine how well the lungs exchange gases | 76 | $9 | $7 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 71 | $10 | $8 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 61 | $102 | $75 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 57 | $182 | $146 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 37 | $78 | $59 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 036074044 | IL |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 036074044 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036074044 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Illinois
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- NPI 1053293415
- NPI 1437189644
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.