Mclaughlin, Francis

Mclaughlin, Francis was paid $99K by Medicaid between Jan 2018 and May 2023, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoMCLAUGHLIN, FRANCIS
GARDNER, MA 01440

33aNPI1043300304assigned 10/14/2006

33bProvider typePediatric Pulmonology Physician

28Total paid$99K

24GClaims2,555

24DCodes billed10

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Massachusetts

Rank by total paid#5 of 21

Median peer was paid$6K

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	747	$30K
2019	493	$18K
2020	442	$16K
2021	441	$16K
2022	374	$15K
2023	58	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	57%	813	762	$57K
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	12%	119	111	$12K
90460	Immunization administration through 18 years of age via any route, first or only component	11%	347	343	$11K
99173		5.4%	209	209	$5K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	4.3%	409	409	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.2%	369	369	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.0%	30	30	$3K
92551		2.6%	235	235	$3K
0071A		<1%	12	12	$480.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	12	12	$162.96

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.