Physician
John Mcgonigle MD LLC
John Mcgonigle MD LLC was paid $253K by Medicaid between Jul 2022 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoJOHN MCGONIGLE MD LLC
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
33aNPI1396320057assigned 03/15/2021
33bProvider typeFamily Medicine Physician
28Total paid$253K
24GClaims3,195
24DCodes billed4
24AFirst – last monthJul 2022 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Rhode Island
Rank by total paid#31 of 220
Median peer was paid$33K
This provider vs. median7.6×
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 | |
|---|---|---|---|
| 2022 | 938 | $74K | |
| 2023 | 1,487 | $118K | |
| 2024incomplete | 770 | $61K |
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 | 58% | 2,021 | 1,102 | $146K |
| 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 | 34% | 994 | 508 | $87K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 115 | 78 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 65 | 39 | $7K |
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.
From NPPES
Who's on the registration
Authorized officialMCGONIGLE, JOHN (PHYSICIAN/ OWNER)