SOPHIA MACAROL, PAC
Medical Physician Assistant · JOLIET, IL
Individual Active NPI 1740438050
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 350 | 898 | $114,135 | $49,028 | $38,854 |
| 2023 | 48 | 84 | $12,708 | $5,700 | $4,646 |
| 2022 | 71 | 293 | $24,241 | $10,138 | $7,788 |
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 | 137 | $80 | $54 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 120 | $112 | $86 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 50 | $140 | $140 |
| 36415 | Insertion of needle into vein for collection of blood sample | 41 | $9 | $9 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 36 | $8 | $8 |
| 81003 | Automated urinalysis test | 36 | $2 | $2 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 36 | $98 | $73 |
| 80053 | Blood test, comprehensive group of blood chemicals | 30 | $10 | $10 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 29 | $158 | $126 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 24 | $141 | $104 |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 24 | $34 | $34 |
| 94640 | Inhalation treatment for airway obstruction or sputum production | 19 | $7 | $5 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | ✓ | 085003254 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Medical Physician Assistant providers in Illinois
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- NPI 1992800270
- NPI 1093689309
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.