Mccain, Sean

Mccain, Sean was paid $184K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 42% of everything it billed.

33Billing provider infoMCCAIN, SEAN
MARION, IL 62959

33aNPI1629050307assigned 11/17/2005

33bProvider typeFamily Medicine Physician

28Total paid$184K

24GClaims4,537

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#606 of 2,947

Median peer was paid$43K

This provider vs. median4.3×

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	755	$24K
2019	867	$26K
2020	844	$33K
2021	916	$44K
2022	774	$40K
2023	217	$9K
2024incomplete	164	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	42%	1,613	1,460	$78K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	28%	869	777	$51K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	27%	1,478	1,363	$49K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.1%	524	487	$4K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	53	53	$1K

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.