Metcalf, Marcia

Metcalf, Marcia was paid $31K by Medicaid between Jan 2018 and Nov 2019, across 2 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 77% of everything it billed.

33Billing provider infoMETCALF, MARCIA
EAST WINDSOR, CT 06088

33aNPI1154346831assigned 07/13/2006

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$31K

24GClaims529

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Connecticut

Rank by total paid#52 of 108

Median peer was paid$28K

This provider vs. median1.1×

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	347	$20K
2019	182	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	77%	367	318	$24K
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	23%	162	127	$7K

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.