Physician
Mcelwain, Mariann
Mcelwain, Mariann was paid $23K by Medicaid between Dec 2020 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoMCELWAIN, MARIANN
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
33aNPI1134117757assigned 10/07/2005
33bProvider typeOtolaryngology Physician
28Total paid$23K
24GClaims1,535
24DCodes billed4
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in Georgia
Rank by total paid#8 of 17
Median peer was paid$15K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 40 | $766.24 | |
| 2021 | 297 | $5K | |
| 2022 | 407 | $4K | |
| 2023 | 597 | $8K | |
| 2024incomplete | 194 | $5K |
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 | 73% | 483 | 456 | $17K |
| 95117 | 23% | 1,014 | 515 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 12 | 12 | $658.99 |
| 99072 | <1% | 26 | 15 | $227.50 |
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.