Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › North Adams › NPI 1164452637
Physician

Mcdermott, Marc

Mcdermott, Marc was paid $687K by Medicaid between Jan 2018 and Mar 2023, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoMCDERMOTT, MARC
NORTH ADAMS, MA 01247
33aNPI1164452637assigned 07/03/2006
33bProvider typePediatrics Physician
28Total paid$687K
24GClaims16,481
24DCodes billed34
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#111 of 1,273
Median peer was paid$24K
This provider vs. median29×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,202$89K
20193,431$132K
20203,370$135K
20213,403$140K
20223,377$158K
2023698$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 2,512 2,383 $221K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 3,150 2,994 $175K
90460 Immunization administration through 18 years of age via any route, first or only component 8.7% 1,767 1,479 $60K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7.6% 1,018 988 $52K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.7% 309 309 $26K
96127 3.3% 1,701 1,534 $23K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.1% 257 255 $21K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 2.8% 2,147 2,145 $19K
99177 2.3% 373 373 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.6% 939 920 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 105 105 $9K
90461 1.3% 239 239 $9K
22 more codes
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.2% 356 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 100 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.1% 229 $7K
92558 <1% 259 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 250 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 293 $3K
87634 <1% 39 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 79 $2K
99215 Doctor's office visit, returning patient (complex) <1% 12 $2K
99051 <1% 81 $1K
0001A <1% 28 $1K
0071A <1% 22 $1K
90473 <1% 35 $715.75
99188 <1% 26 $676.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 12 $660.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $410.55
99173 <1% 12 $266.64
99050 <1% 13 $215.28
87807 <1% 15 $177.15
85018 <1% 52 $122.05
96160 <1% 26 $100.36
94760 0% 13 $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.