Mcclain, Cheryl

Mcclain, Cheryl was paid $23K by Medicaid between Feb 2020 and Aug 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoMCCLAIN, CHERYL
FRANKFORT, KY 40601

33aNPI1316965700assigned 07/17/2006

33bProvider typeAddiction Medicine (Family Medicine) Physician

28Total paid$23K

24GClaims579

24DCodes billed3

24AFirst – last monthFeb 2020 – Aug 2020

Compared with peers

Next to other Addiction Medicine (Family Medicine) Physician providers in Kentucky

Rank by total paid#15 of 20

Median peer was paid$136K

This provider vs. median0.2×

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	579	$23K

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	82%	449	197	$19K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13%	28	28	$3K
80305		5.4%	102	45	$1K

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.