NP / PA
Mcguire, Cheryl
Mcguire, Cheryl was paid $503K by Medicaid between Jan 2019 and Dec 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoMCGUIRE, CHERYL
WRENTHAM, MA 02093
WRENTHAM, MA 02093
33aNPI1124458575assigned 11/22/2013
33bProvider typeAdult Health Nurse Practitioner
28Total paid$503K
24GClaims6,765
24DCodes billed4
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Adult Health Nurse Practitioner providers in Massachusetts
Rank by total paid#1 of 68
Median peer was paid$7K
This provider vs. median73×
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 | |
|---|---|---|---|
| 2019 | 596 | $43K | |
| 2020 | 980 | $59K | |
| 2021 | 1,176 | $80K | |
| 2022 | 1,544 | $114K | |
| 2023 | 1,379 | $116K | |
| 2024incomplete | 1,090 | $91K |
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 | 50% | 3,986 | 3,794 | $250K |
| 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 | 46% | 2,576 | 2,373 | $230K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.6% | 152 | 152 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 51 | 51 | $5K |
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.