Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MCCAIN, MACK

NPI: 1558321190 · HERRIN, IL 62948 · Gastroenterology Physician · NPI assigned 03/27/2006

$702K
Total Medicaid Paid
6,181
Total Claims
5,445
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,019 $96K
2019 1,481 $131K
2020 984 $118K
2021 1,479 $181K
2022 633 $97K
2023 419 $62K
2024 166 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,356 2,113 $381K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,321 1,151 $153K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 450 356 $94K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 554 533 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 727 680 $17K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 87 80 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 159 148 $6K
99232 Subsequent hospital care, per day, moderate complexity 254 129 $5K
43450 84 73 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 124 119 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 37 36 $2K
91110 13 12 $1K
99221 15 15 $432.32