Mccaul, Judith

Mccaul, Judith was paid $460K by Medicaid between Jan 2018 and Jun 2020, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoMCCAUL, JUDITH
POTOSI, MO 63664

33aNPI1528306552assigned 01/25/2013

33bProvider typePediatric Nurse Practitioner

28Total paid$460K

24GClaims3,572

24DCodes billed9

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Missouri

Rank by total paid#3 of 212

Median peer was paid$13K

This provider vs. median36×

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	1,026	$126K
2019	1,541	$208K
2020	1,005	$126K

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	61%	1,635	1,510	$280K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	789	759	$93K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.7%	313	301	$35K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.3%	199	191	$24K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.2%	318	289	$10K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	231	227	$7K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	33	27	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	37	31	$4K
99384		<1%	17	14	$2K

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.