Physician
Mccague, James
Mccague, James was paid $5K by Medicaid between Feb 2021 and May 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoMCCAGUE, JAMES
PITTSBURGH, PA 15219
PITTSBURGH, PA 15219
33aNPI1487639209assigned 12/14/2005
33bProvider typeUrology Physician
28Total paid$5K
24GClaims316
24DCodes billed4
24AFirst – last monthFeb 2021 – May 2024
Compared with peers
Next to other Urology Physician providers in Pennsylvania
Rank by total paid#53 of 134
Median peer was paid$3K
This provider vs. median1.7×
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 | 264 | $5K | |
| 2022 | 26 | $442.01 | |
| 2024incomplete | 26 | $353.11 |
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 | 50% | 118 | 115 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 34% | 44 | 44 | $2K |
| 51798 | 9.6% | 53 | 53 | $517.50 | |
| 81002 | 6.2% | 101 | 100 | $329.99 |
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.