Physician
Mcclain, Theresa
Mcclain, Theresa was paid $83K by Medicaid between Nov 2020 and Sep 2021, across 2 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMCCLAIN, THERESA
ALLENTOWN, PA 18104
ALLENTOWN, PA 18104
33aNPI1235573916assigned 04/24/2013
33bProvider typeObstetrics & Gynecology Physician
28Total paid$83K
24GClaims1,236
24DCodes billed2
24AFirst – last monthNov 2020 – Sep 2021
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Pennsylvania
Rank by total paid#96 of 511
Median peer was paid$14K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2020 | 179 | $12K | |
| 2021 | 1,057 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 716 | 494 | $83K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 520 | 339 | $231.00 |
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.