Physician
Mccain, Mack
Mccain, Mack was paid $702K by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 54% of everything it billed.
33Billing provider infoMCCAIN, MACK
HERRIN, IL 62948
HERRIN, IL 62948
33aNPI1558321190assigned 03/27/2006
33bProvider typeGastroenterology Physician
28Total paid$702K
24GClaims6,181
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in Illinois
Rank by total paid#14 of 370
Median peer was paid$16K
This provider vs. median44×
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 | 1,019 | $96K | |
| 2019 | 1,481 | $131K | |
| 2020 | 984 | $118K | |
| 2021 | 1,479 | $181K | |
| 2022 | 633 | $97K | |
| 2023 | 419 | $62K | |
| 2024incomplete | 166 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 54% | 2,356 | 2,113 | $381K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 22% | 1,321 | 1,151 | $153K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 13% | 450 | 356 | $94K |
| 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 | 3.5% | 554 | 533 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 727 | 680 | $17K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.7% | 87 | 80 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 159 | 148 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 254 | 129 | $5K |
| 43450 | <1% | 84 | 73 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 124 | 119 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 37 | 36 | $2K |
| 91110 | <1% | 13 | 12 | $1K |
1 more codes
| 99221 | <1% | 15 | $432.32 |
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.