Physician
Mcgrail, William
Mcgrail, William was paid $232K by Medicaid between Nov 2020 and Dec 2024, across 16 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 56% of everything it billed.
33Billing provider infoMCGRAIL, WILLIAM
FRANKLIN, PA 16323
FRANKLIN, PA 16323
33aNPI1609847532assigned 01/30/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$232K
24GClaims4,185
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Pennsylvania
Rank by total paid#51 of 511
Median peer was paid$14K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2020 | 89 | $6K | |
| 2021 | 714 | $45K | |
| 2022 | 1,425 | $68K | |
| 2023 | 1,071 | $63K | |
| 2024incomplete | 886 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 56% | 1,528 | 1,017 | $131K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 1,481 | 1,417 | $59K |
| 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 | 7.4% | 274 | 265 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 236 | 229 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.4% | 120 | 120 | $6K |
| 99429 | 1.1% | 12 | 12 | $3K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.1% | 83 | 82 | $3K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.1% | 83 | 82 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 72 | 72 | $2K |
| 81025 | <1% | 77 | 76 | $720.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 52 | 51 | $688.45 |
| 87480 | <1% | 24 | 24 | $549.78 |
4 more codes
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.