Mcfadden, Michael

Mcfadden, Michael was paid $113K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoMCFADDEN, MICHAEL
STOCKTON, IL 61085

33aNPI1154394484assigned 02/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$113K

24GClaims2,445

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#889 of 2,947

Median peer was paid$43K

This provider vs. median2.7×

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	179	$9K
2019	284	$16K
2020	452	$22K
2021	374	$13K
2022	489	$22K
2023	440	$20K
2024incomplete	227	$12K

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	53%	1,004	881	$60K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	1,098	952	$47K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.2%	40	26	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.6%	21	18	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.1%	32	32	$1K
90686		<1%	36	30	$383.06
81003		<1%	92	72	$189.66
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	13	$166.86
85018		<1%	38	26	$85.84
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	12	12	$23.40
36415	Collection of venous blood by venipuncture	0%	59	51	$0.00

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.