NP / PA
Macko, Andrew
Macko, Andrew was paid $33K by Medicaid between Dec 2021 and Aug 2023, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoMACKO, ANDREW
CRANSTON, RI 02920
CRANSTON, RI 02920
33aNPI1477520906assigned 03/03/2006
33bProvider typePhysician Assistant
28Total paid$33K
24GClaims1,077
24DCodes billed16
24AFirst – last monthDec 2021 – Aug 2023
Compared with peers
Next to other Physician Assistant providers in Rhode Island
Rank by total paid#79 of 215
Median peer was paid$17K
This provider vs. median1.9×
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
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 | |
|---|---|---|---|
| 2021 | 38 | $929.34 | |
| 2022 | 703 | $16K | |
| 2023 | 336 | $16K |
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 | 24% | 176 | 169 | $8K |
| 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 | 20% | 104 | 98 | $7K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 19% | 117 | 115 | $6K |
| 82607 | 9.0% | 109 | 107 | $3K | |
| 80061 | Lipid panel | 8.3% | 92 | 92 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | 5.1% | 109 | 109 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.7% | 120 | 119 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | 3.3% | 41 | 41 | $1K |
| 80053 | Comprehensive metabolic panel | 2.5% | 52 | 52 | $832.99 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 12 | 12 | $320.34 |
| 86803 | <1% | 12 | 12 | $296.53 | |
| 86706 | <1% | 12 | 12 | $231.54 |
4 more codes
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.