Mcdonald, Marguerite

Mcdonald, Marguerite was paid $59K by Medicaid between Feb 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoMCDONALD, MARGUERITE
OCEANSIDE, NY 11572

33aNPI1356348452assigned 07/05/2005

33bProvider typeOphthalmology Physician

28Total paid$59K

24GClaims2,255

24DCodes billed6

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#464 of 1,085

Median peer was paid$34K

This provider vs. median1.8×

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
2018	267	$6K
2019	432	$9K
2020	420	$11K
2021	289	$7K
2022	221	$7K
2023	258	$9K
2024incomplete	368	$9K

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	47%	704	664	$28K
83861		22%	992	573	$13K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	14%	238	206	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	11%	127	125	$6K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.1%	17	17	$2K
92015	Determination of refractive state	2.5%	177	176	$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.