Mccarthy, Justin

Mccarthy, Justin was paid $31K by Medicaid between Aug 2019 and May 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoMCCARTHY, JUSTIN
BROOMFIELD, CO 80021

33aNPI1316396047assigned 06/03/2016

33bProvider typeFamily Medicine Physician

28Total paid$31K

24GClaims467

24DCodes billed5

24AFirst – last monthAug 2019 – May 2020

Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#274 of 532

Median peer was paid$35K

This provider vs. median0.9×

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
2019	308	$18K
2020	159	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	55%	255	255	$17K
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	40%	121	119	$12K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.5%	48	48	$1K
90686		1.6%	30	30	$475.43
36415	Collection of venous blood by venipuncture	<1%	13	13	$46.55

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.