Physician
Mcgrath, Carolyn
Mcgrath, Carolyn was paid $204K by Medicaid between Jan 2018 and Jan 2019, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoMCGRATH, CAROLYN
NORTH PROVIDENCE, RI 02904
NORTH PROVIDENCE, RI 02904
33aNPI1447225917assigned 02/20/2006
33bProvider typeEmergency Medicine Physician
28Total paid$204K
24GClaims4,790
24DCodes billed12
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Emergency Medicine Physician providers in Rhode Island
Rank by total paid#57 of 188
Median peer was paid$94K
This provider vs. median2.2×
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 | 4,776 | $203K | |
| 2019 | 14 | $751.27 |
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% | 1,713 | 1,403 | $95K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 35% | 793 | 668 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.3% | 200 | 168 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 276 | 251 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 323 | 156 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 345 | 306 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 230 | 166 | $3K |
| 84703 | <1% | 146 | 116 | $793.04 | |
| 81003 | <1% | 601 | 518 | $721.54 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 32 | 29 | $282.04 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 106 | 64 | $209.18 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 25 | 13 | $0.00 |
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.