Macdougall, Kristin

Macdougall, Kristin was paid $34K by Medicaid between Mar 2018 and Jul 2020, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoMACDOUGALL, KRISTIN
SMITHTOWN, NY 11787

33aNPI1093000325assigned 06/15/2011

33bProvider typeInternal Medicine Physician

28Total paid$34K

24GClaims1,305

24DCodes billed12

24AFirst – last monthMar 2018 – Jul 2020

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,022 of 6,049

Median peer was paid$11K

This provider vs. median3.0×

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	601	$22K
2019	268	$3K
2020	436	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	42%	169	149	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	76	64	$5K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	7.0%	123	119	$2K
82565		5.5%	131	127	$2K
84460		5.5%	124	122	$2K
84450		5.4%	124	122	$2K
86140		5.4%	124	119	$2K
84520		4.6%	124	122	$2K
82040		4.4%	120	115	$2K
85651		4.3%	123	118	$1K
36415	Collection of venous blood by venipuncture	1.4%	41	35	$464.63
84132		<1%	26	25	$262.77

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.