Mclean, Erika

Mclean, Erika was paid $80K by Medicaid between Nov 2018 and Sep 2024, across 7 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 73% of everything it billed.

33Billing provider infoMCLEAN, ERIKA
JAMESTOWN, NY 14701

33aNPI1669409371assigned 06/27/2006

33bProvider typeHospitalist Physician

28Total paid$80K

24GClaims1,251

24DCodes billed7

24AFirst – last monthNov 2018 – Sep 2024

Compared with peers

Next to other Hospitalist Physician providers in New York

Rank by total paid#19 of 614

Median peer was paid$2K

This provider vs. median34×

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	26	$731.85
2019	206	$11K
2020	247	$15K
2021	270	$19K
2022	235	$17K
2023	211	$14K
2024incomplete	56	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	73%	884	828	$58K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	15%	152	151	$12K
99239	Hospital discharge day management, more than 30 minutes	4.5%	59	56	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	61	57	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.7%	40	25	$2K
99238	Hospital discharge day management, 30 minutes or less	1.3%	41	37	$1K
99460		<1%	14	14	$465.00

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.