Physician
Mccall, Mark
Mccall, Mark was paid $29K by Medicaid between Jul 2019 and Oct 2019, across 13 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 30% of everything it billed.
33Billing provider infoMCCALL, MARK
SUMMERVILLE, SC 29485
SUMMERVILLE, SC 29485
33aNPI1205836145assigned 07/21/2005
33bProvider typePediatrics Physician
28Total paid$29K
24GClaims561
24DCodes billed13
24AFirst – last monthJul 2019 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#177 of 471
Median peer was paid$18K
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 | |
|---|---|---|---|
| 2019 | 561 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 30% | 85 | 85 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 39 | 39 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 35 | 35 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 53 | 51 | $4K |
| 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 | 9.1% | 26 | 24 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 25 | 24 | $2K |
| 90461 | 6.4% | 79 | 79 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 118 | 118 | $1K |
| 96127 | <1% | 32 | 32 | $227.52 | |
| 3725F | 0% | 32 | 32 | $0.00 | |
| 90734 | 0% | 12 | 12 | $0.00 | |
| 90715 | 0% | 13 | 13 | $0.00 |
1 more codes
| 90649 | 0% | 12 | $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.