Physician
James Mcgrath MD, PLLC
James Mcgrath MD, PLLC was paid $67K by Medicaid between Jan 2018 and Jan 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoJAMES MCGRATH MD, PLLC
YADKINVILLE, NC 27055
YADKINVILLE, NC 27055
33aNPI1649656257assigned 08/05/2015
33bProvider typeGeneral Practice Physician
28Total paid$67K
24GClaims14,571
24DCodes billed13
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other General Practice Physician providers in North Carolina
Rank by total paid#34 of 51
Median peer was paid$205K
This provider vs. median0.3×
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 | 873 | $22K | |
| 2019 | 2,521 | $16K | |
| 2020 | 2,118 | $3K | |
| 2021 | 2,272 | $6K | |
| 2022 | 2,975 | $9K | |
| 2023 | 3,692 | $10K | |
| 2024incomplete | 120 | $307.50 |
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 | 46% | 739 | 457 | $30K |
| 99199 | Unlisted special service, procedure or report | 28% | 4,585 | 2,664 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 486 | 308 | $17K |
| 1126F | 0% | 1,081 | 646 | $0.00 | |
| 3074F | 0% | 1,314 | 1,088 | $0.00 | |
| 3008F | 0% | 1,670 | 1,329 | $0.00 | |
| 1125F | 0% | 726 | 402 | $0.00 | |
| 99000 | 0% | 44 | 27 | $0.00 | |
| 3075F | 0% | 76 | 64 | $0.00 | |
| 3078F | 0% | 1,528 | 1,283 | $0.00 | |
| 1159F | 0% | 1,741 | 1,362 | $0.00 | |
| 1160F | 0% | 555 | 400 | $0.00 |
1 more codes
| 99307 | 0% | 26 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialMCGRATH, JAMES (PHYSICIAN OWNER)