Macadams, Michael

Macadams, Michael was paid $3K by Medicaid between Feb 2018 and Oct 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoMACADAMS, MICHAEL
LUBBOCK, TX 79423

33aNPI1477611044assigned 12/05/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$3K

24GClaims815

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2022

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Texas

Rank by total paid#38 of 53

Median peer was paid$11K

This provider vs. median0.3×

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	137	$15.72
2019	266	$30.15
2020	105	$152.76
2021	227	$2K
2022	80	$410.90

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	43%	40	39	$1K
83036	Hemoglobin; glycosylated (A1C)	40%	374	365	$1K
82947		13%	352	338	$386.69
80061	Lipid panel	4.5%	37	37	$131.43
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	12	12	$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.