Physician
Macnow, Theodore
Macnow, Theodore was paid $12K by Medicaid between Jan 2018 and Feb 2024, across 2 billing codes. Its largest line is 99284, emergency room visit (serious) — 95% of everything it billed.
33Billing provider infoMACNOW, THEODORE
WORCESTER, MA 01655
WORCESTER, MA 01655
33aNPI1760626832assigned 04/20/2009
33bProvider typePediatric Emergency Medicine (Pediatrics) Physician
28Total paid$12K
24GClaims128
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Massachusetts
Rank by total paid#22 of 38
Median peer was paid$13K
This provider vs. median0.9×
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 | 66 | $7K | |
| 2023 | 50 | $4K | |
| 2024incomplete | 12 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 95% | 116 | 115 | $11K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.1% | 12 | 12 | $591.58 |
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.