Physician
Justin Mccarthy, M.D., P.A.
Justin Mccarthy, M.D., P.A. was paid $38K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.
33Billing provider infoJUSTIN MCCARTHY, M.D., P.A.
LUBBOCK, TX 79424
LUBBOCK, TX 79424
33aNPI1194732776assigned 08/03/2006
33bProvider typeGastroenterology Physician
28Total paid$38K
24GClaims3,051
24DCodes billed10
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Texas
Rank by total paid#24 of 91
Median peer was paid$8K
This provider vs. median4.9×
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 | 652 | $2K | |
| 2019 | 1,350 | $5K | |
| 2020 | 302 | $5K | |
| 2021 | 162 | $4K | |
| 2022 | 293 | $9K | |
| 2023 | 175 | $7K | |
| 2024incomplete | 117 | $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 | 90% | 1,198 | 1,136 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.4% | 145 | 141 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 21 | 13 | $206.21 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 408 | 392 | $0.00 |
| 1111F | 0% | 361 | 345 | $0.00 | |
| 1036F | 0% | 186 | 179 | $0.00 | |
| G9711 | Patients with a diagnosis or past history of total colectomy or colorectal cancer | 0% | 25 | 24 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 165 | 155 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 121 | 119 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 421 | 404 | $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.
From NPPES
Who's on the registration
Authorized officialMCCARTHY, JUSTIN (MOPA)