Mcentire, James

Mcentire, James was paid $410K by Medicaid between Jan 2018 and Jun 2019, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoMCENTIRE, JAMES
LEES SUMMIT, MO 64086

33aNPI1083653018assigned 06/05/2006

33bProvider typePediatrics Physician

28Total paid$410K

24GClaims11,857

24DCodes billed35

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#87 of 992

Median peer was paid$40K

This provider vs. median10×

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	9,172	$315K
2019	2,685	$95K

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	29%	2,706	2,458	$118K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	758	742	$55K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	722	698	$51K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	9.1%	509	502	$37K
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	7.1%	468	452	$29K
99223	Prolong inpt eval add15 m	7.0%	265	262	$29K
90723		4.0%	546	533	$16K
92587		3.1%	381	381	$13K
99051		2.3%	821	767	$10K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.3%	133	133	$9K
90707		1.4%	312	304	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.1%	160	120	$4K

23 more codes

90670		<1%	673	$4K
90648		<1%	664	$4K
83655		<1%	181	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	87	$2K
90633		<1%	395	$2K
90681		<1%	323	$2K
90716		<1%	310	$2K
90686		<1%	299	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	93	$1K
90700		<1%	78	$1K
90696		<1%	48	$1K
96161		<1%	365	$1K
90651		<1%	163	$989.99
99384		<1%	12	$923.71
94010		<1%	35	$847.25
99383		<1%	12	$772.35
90715		<1%	37	$667.75
81002		<1%	141	$443.18
D1206	Topical application of fluoride varnish	<1%	22	$373.54
90734		<1%	55	$322.94
90688		<1%	48	$285.97
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	14	$224.32
94760		<1%	21	$66.35

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.