Mcelroy, Paul

Mcelroy, Paul was paid $38K by Medicaid between Jan 2018 and Nov 2018, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoMCELROY, PAUL
RADFORD, VA 24141

33aNPI1396709572assigned 04/14/2006

33bProvider typePediatrics Physician

28Total paid$38K

24GClaims911

24DCodes billed13

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#371 of 817

Median peer was paid$29K

This provider vs. median1.3×

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	911	$38K

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	46%	207	201	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	259	243	$15K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.8%	18	18	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.4%	13	13	$897.71
90686		2.3%	77	75	$892.70
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.2%	59	57	$840.09
90460	Immunization administration through 18 years of age via any route, first or only component	1.3%	129	128	$479.22
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	13	13	$378.40
92551		<1%	34	34	$364.45
90461		<1%	43	43	$246.60
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	30	30	$80.85
96127		<1%	12	12	$71.39

1 more codes

99173

<1%

$44.03

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.