Physician
Mcdonnell, James
Mcdonnell, James was paid $256K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.
33Billing provider infoMCDONNELL, JAMES
MAYWOOD, IL 60153
MAYWOOD, IL 60153
33aNPI1093782831assigned 03/01/2006
33bProvider typeOphthalmology Physician
28Total paid$256K
24GClaims8,399
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Illinois
Rank by total paid#84 of 431
Median peer was paid$34K
This provider vs. median7.5×
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 | 675 | $16K | |
| 2019 | 950 | $25K | |
| 2020 | 1,174 | $31K | |
| 2021 | 1,113 | $31K | |
| 2022 | 1,637 | $51K | |
| 2023 | 1,463 | $51K | |
| 2024incomplete | 1,387 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 1,490 | 1,337 | $66K |
| 92060 | 17% | 2,192 | 1,991 | $44K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 1,313 | 1,169 | $36K |
| 92015 | Determination of refractive state | 14% | 1,913 | 1,615 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 654 | 507 | $23K |
| 99243 | 7.1% | 203 | 185 | $18K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.5% | 286 | 272 | $17K |
| 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 | 4.0% | 196 | 155 | $10K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.3% | 50 | 43 | $6K |
| 92201 | <1% | 82 | 53 | $1K | |
| 92226 | <1% | 20 | 15 | $549.00 |
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.