Mcmillan, Clare

Mcmillan, Clare was paid $167K by Medicaid between Jan 2018 and Aug 2022, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoMCMILLAN, CLARE
EAST GREENWICH, RI 02818

33aNPI1467411629assigned 03/17/2006

33bProvider typePediatrics Physician

28Total paid$167K

24GClaims4,135

24DCodes billed19

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#114 of 265

Median peer was paid$133K

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	532	$21K
2019	970	$39K
2020	964	$32K
2021	1,159	$44K
2022	510	$30K

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	42%	1,177	1,062	$69K
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	40%	880	815	$66K
90460	Immunization administration through 18 years of age via any route, first or only component	6.5%	515	464	$11K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.2%	151	139	$5K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	2.5%	201	189	$4K
99050		<1%	55	52	$2K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	17	17	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	13	13	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	12	12	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	12	12	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	100	99	$990.31
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	61	53	$973.50

7 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	60	$795.14
90686		<1%	710	$760.90
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	49	$612.40
0071A		<1%	14	$564.32
96127		<1%	53	$187.75
99173		<1%	26	$56.07
1036F		<1%	29	$41.25

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.