Mcginnis, David

Mcginnis, David was paid $193K by Medicaid between May 2021 and Jan 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoMCGINNIS, DAVID
FALL RIVER, MA 02720

33aNPI1689634115assigned 03/27/2006

33bProvider typeEmergency Medicine Physician

28Total paid$193K

24GClaims1,878

24DCodes billed9

24AFirst – last monthMay 2021 – Jan 2023

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#64 of 618

Median peer was paid$8K

This provider vs. median23×

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
2021	514	$48K
2022	1,281	$135K
2023	83	$10K

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	51%	1,124	1,067	$98K
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	37%	263	257	$72K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	6.4%	160	160	$12K
87428		2.7%	60	59	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	122	122	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	49	49	$2K
81002		<1%	61	59	$262.52
87081		<1%	26	26	$233.06
87086	Culture, bacterial; quantitative colony count, urine	<1%	13	12	$139.75

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.