Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mccarthy, Lauren

Mccarthy, Lauren was paid $37K by Medicaid between Jul 2020 and Sep 2024, across 5 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 53% of everything it billed.

33Billing provider infoMCCARTHY, LAUREN
JERSEYVILLE, IL 62052
33aNPI1396265666assigned 06/27/2017
28Total paid$37K
24GClaims1,238
24DCodes billed5
24AFirst – last monthJul 2020 – Sep 2024
Compared with peers

Next to other Foot & Ankle Surgery Podiatrist providers in Illinois

Rank by total paid#74 of 237
Median peer was paid$13K
This provider vs. median2.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
202041$752.24
2021227$5K
2022205$4K
2023459$15K
2024incomplete306$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 53% 458 215 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 455 381 $11K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 156 147 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.4% 79 68 $1K
11721 2.6% 90 86 $953.24

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.