Mccauley, Mary

Mccauley, Mary was paid $222K by Medicaid between Sep 2020 and Dec 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 41% of everything it billed.

33Billing provider infoMCCAULEY, MARY
WINFIELD, IL 60190

33aNPI1396163671assigned 04/02/2014

33bProvider typePediatric Endocrinology Physician

28Total paid$222K

24GClaims2,693

24DCodes billed5

24AFirst – last monthSep 2020 – Dec 2024

Compared with peers

Next to other Pediatric Endocrinology Physician providers in Illinois

Rank by total paid#10 of 38

Median peer was paid$125K

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
2020	47	$7K
2021	531	$62K
2022	684	$66K
2023	720	$39K
2024incomplete	711	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	41%	969	901	$92K
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	31%	1,028	996	$70K
99244	Office or other outpatient consultation, moderate to high complexity	23%	305	277	$52K
95251		3.9%	379	356	$9K
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%	12	12	$334.11

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.