Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mcpike, James

Mcpike, James was paid $28K by Medicaid between Jan 2018 and May 2021, across 5 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 93% of everything it billed.

33Billing provider infoMCPIKE, JAMES
MURFREESBORO, TN 37129
33aNPI1700972015assigned 10/05/2006
28Total paid$28K
24GClaims3,269
24DCodes billed5
24AFirst – last monthJan 2018 – May 2021
Compared with peers

Next to other Cardiovascular Disease Physician providers in Tennessee

Rank by total paid#61 of 136
Median peer was paid$21K
This provider vs. median1.3×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018677$4K
20191,079$9K
20201,148$10K
2021365$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 93% 3,109 2,775 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.4% 63 62 $668.96
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.6% 26 26 $434.08
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 1.5% 27 25 $412.97
99231 Subsequent hospital care, per day, straightforward or low complexity 1.4% 44 24 $377.20

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.