Physician
Mcdonald, Michael
Mcdonald, Michael was paid $15K by Medicaid between Nov 2020 and Oct 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoMCDONALD, MICHAEL
SLIPPERY ROCK, PA 16057
SLIPPERY ROCK, PA 16057
33aNPI1679563530assigned 10/24/2005
33bProvider typeFamily Medicine Physician
28Total paid$15K
24GClaims503
24DCodes billed3
24AFirst – last monthNov 2020 – Oct 2022
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,519 of 2,756
Median peer was paid$19K
This provider vs. median0.8×
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 | 22 | $693.00 | |
| 2021 | 337 | $9K | |
| 2022 | 144 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100% | 469 | 440 | $15K |
| 3074F | 0% | 17 | 17 | $0.00 | |
| 3078F | 0% | 17 | 17 | $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.